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Indian Journal of Anesthesia and Analgesia

Volume  7, Issue 1, January-February 2020, Pages 187-190
 

Case Report

Use of Truview Laryngoscope in Patients of Limited Mouth Opening Associated with Panfacial Trauma

Rajashri Sonwane Virshid, Akhila L Arakkal, Sayyed M Omar

1Associate Professor, 2Junior Resident, 3Lecturer, Department of Anaesthesiology, Government Medical College, Aurangabad, Maharashtra 431001, India.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.7120.26

Abstract

Introduction: Panfacial fractures are the biggest challenge for anesthesiologist because of its difficulty in airway management. Different airway securing devices have been used. Case Report: A 28 Years old male patient with pan facial fracture posted for open reduction and internal fixation of mandible and left zygomatic arch with a closed reduction of nasal bone fracture. Airway examination showed decreased mouth opening of 1 finger indicating difficulty in mask ventilation and intubation. He was successfully intubated with the help of truview laryngoscope. Conclusion: Careful evaluation of fracture, difficult airway predictors are useful in intubating patient with decreased mouth opening in panfacial trauma with the help of truview laryngoscope.

 


Keywords : Panfacial fracture; Limited mouth opening; Difficult mask ventilation; Difficult intubation; Truview laryngoscope.
Corresponding Author : Akhila L Arakkal