Trauma management has evolved significantly in the past few decades thereby reducing mortality in the golden hour. However, challenges remain, and one such area is maxillofacial injuries in a polytrauma patient. Severe injuries to the maxillofacial region can complicate the early management of a trauma patient owing to the regions proximity to the brain, cervical spine, and airway. The usual techniques of airway breathing and circulation ABC management are often modified or supplemented with other methods in case of maxillofacial injuries.
Airway Management in Maxillofacial Trauma: Do We Really Need Tracheostomy/Submental Intubation
fairfieldstatehospital.com: Critical Care: Airway Management
Background: There are various techniques available for airway management in patients with maxillofacial trauma. Patients with panfacial injuries may need surgical airway access like submental intubation or tracheostomy, which have their associated problems. We have been managing these types of cases by a novel technique, i. Aim: To review our experience about various techniques for the airway management in patient with maxillofacial trauma. To analyse the possibility of using nasotracheal intubation and intraoperative change of nasotracheal to orotracheal intubation in panfacial fractures. Materials and Methods: In a tertiary care centre four hundred eighty seven patients of maxillofacial injuries, operated over a period of 2 years were reviewed in relation to age, sex, mode of injury, type of facial fractures, methods of airway management and their associated complications.
Management of maxillofacial trauma in emergency: An update of challenges and controversies
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. Anesthesiology ; 1 We have emailed you at with instructions on how to set up a new password. If you do not receive an email in the next 24 hours, or if you misplace your new password, please contact:.
Airway Management of the Trauma Victim The potential for cervical spine injury makes airway management more complex in the trauma patient. A cervical spine injury should be suspected in all injury mechanisms involving blunt trauma. Patients with injury above the clavicles are at increased risk, and this is increased 4-fold 9 if there is a clinically significant head injury GCS. Immobilization of the cervical spine must be instituted until a complete clinical and radiological evaluation has excluded injury.