Face-to-face awake intubation in an upright position in severe maxillofacial trauma

Autor: Laurensia Vidya Ayuningtyas, Airi Mutiar, Prananda Surya Airlangga
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Turkish Journal of Emergency Medicine, Vol 24, Iss 1, Pp 58-61 (2024)
Druh dokumentu: article
ISSN: 2452-2473
DOI: 10.4103/tjem.tjem_84_23
Popis: Maxillofacial injury may cause difficulty during airway assessment and management in the emergency setting. Alternative intubation positions and techniques should be considered to ensure patient safety. A 37-year-old male patient arrived at the emergency department with a degloving maxillofacial injury after a high-impact motor vehicle accident. Active bleeding from his wounds prevented him from lying supine and raised concerns of aspiration, requiring immediate securing of the airway. Since the patient was alert and cooperative, awake face-to-face intubation in the upright position was performed. Intubation was successful on the first attempt without any complications using a video laryngoscope with topical anesthesia sprayed intraorally. Awake intubation in the face-to-face upright position can be successful in a cooperative patient with severe maxillofacial trauma.
Databáze: Directory of Open Access Journals
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