Figures 1 to 3 were enhanced by Annemarie B. Johnson, C. Previous reviews have addressed airway management of trauma patients without a detailed description of management of the traumatized airway. This clinical commentary focuses on the approach to patients with upper airway trauma. Airway injury is a major cause of early death in trauma. In a retrospective review of 12, civilian patients treated at a regional trauma center in Toronto from to , 36 patients 0.
Comprehensive Airway Management of Patients with Maxillofacial Trauma
Anaesthesia and common oral and maxillo-facial emergencies | BJA Education | Oxford Academic
According to the Advanced Trauma Life Support recommendations for managing patients with life-threatening injuries, securing the airway is the first task of a primary caregiver. In these patients, mask ventilation and endotracheal intubation are anticipated to be difficult. Additionally, some of these patients may not yet have been cleared of a cervical spine injury, and all are regarded as having a full stomach and having an increased risk of regurgitation and pulmonary aspiration. The requirements of the intended maxillofacial operation may often preclude the use of an oral intubation tube, and alternative methods for securing the airway should be considered before the start of the surgery.
Maxillofacial trauma patient: coping with the difficult airway
Try out PMC Labs and tell us what you think. Learn More. Airway management in patients with maxillofacial trauma is complicated by injuries to routes of intubation, and the surgeon is frequently asked to secure the airway. Airway obstruction from hemorrhage, tissue prolapse, or edema may require emergent intervention for which multiple intubation techniques exist.
Metrics details. Establishing a secure airway in a trauma patient is one of the primary essentials of treatment. Any flaw in airway management may lead to grave morbidity and mortality.