Post Burn Contracture Neck- An Anaesthetic Challenge

Abstract

Burn contractures may results in poor quality of patients life. It can be associated with loss of articulation, cosmetic disfigurement and psycho- logical changes. This case report describes the airway management of the post burn contracture patient which involves her face, neck and upper part of chest, presented for contracture release and skin grafting. For this patient, awake limb of difficult airway algorithm was selected. She was intubated with the help of fiberoptic bronchoscope while she was awake. This technique is considered as gold standard for difficult airway management. With thorough preoperative assessment, meticulous preoperative preparation, team work and due precautions taken, these cases can be managed successfully. Also, alternative plans should be ready if plan A fails.