Utility of the Awake Video Laryngoscopy Assisted Fibreoptic Intubation Technique in Maxillofacial Gunshot Injury - A Case Report.
Ann Maxillofac Surg
; 13(1): 120-122, 2023.
Article
em En
| MEDLINE
| ID: mdl-37711543
ABSTRACT
Rationale Maxillofacial gunshot injury leads to significant soft tissue and bone defects, which compromise airway patency, thus posing a challenge for the anaesthesiologist. The utility of the videolaryngoscopy-assisted fibreoptic intubation (VAFI) technique in maxillofacial gunshot injury has not yet been described in the literature. Patient Concerns We report the case of a young male presenting with extensive maxillofacial wounds with fractures of the bilateral maxilla, mandible and floor of orbit secondary to self-inflicted gunshot injury. Diagnosis Major peri-operative concerns included anticipated difficult airway, control of potential haemorrhage and airway oedema. Treatment A flexible fibreoptic bronchoscope used in combination with a video laryngoscope was used to successfully secure the airway. Outcome:
He was extubated on the same day and discharged after two weeks. Take-Away Lessons The current case highlights the safe and effective use of the videolaryngoscopy-assisted fibreoptic intubation technique in maxillofacial gunshot injury.
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MEDLINE
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En
Ano de publicação:
2023
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Article