Severe post-burn neck contracture release and skin graft harvest using tumescent local anaesthesia as the sole anesthetic technique

Severe post-burn contractures in the neck often cause anatomical distortion and restriction of neck movements, resulting in varying degrees of difficulty in airway management. Any mode of anesthesia that may obviate the need for imperative airway control may be desirable in such situations in which...

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Bibliographic Details
Published in:Journal of anesthesia 2012-02, Vol.26 (1), p.97-99
Main Authors: Prasad, Mukesh Kumar, Puneet, Pulak, Rani, Kanchan, Shree, Divya
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia, Local - methods
Anesthesiology
Burns - complications
Burns - surgery
Clinical Report
Contracture - surgery
Critical Care Medicine
Emergency Medicine
Female
Humans
Intensive
Medicine
Medicine & Public Health
Methods
Neck
Pain Medicine
Political corruption
Skin
Skin Transplantation
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Summary:Severe post-burn contractures in the neck often cause anatomical distortion and restriction of neck movements, resulting in varying degrees of difficulty in airway management. Any mode of anesthesia that may obviate the need for imperative airway control may be desirable in such situations in which a difficult airway may be anticipated. Here we present one such situation where tumescent local anesthesia was employed to manage a case of severe post-burn neck contractures posted for contracture release and split-skin grafting. The other benefits of this method were minimal blood loss and excellent postoperative analgesia. In conclusion, it can be emphasized that the application of tumescent anesthesia is an important anesthetic tool in patients with predicted difficult airway management.
ISSN:0913-8668
1438-8359
DOI:10.1007/s00540-011-1246-9