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Article: The bamboo skewer: Airway management in a patient with penetrating injury of the floor of mouth

TitleThe bamboo skewer: Airway management in a patient with penetrating injury of the floor of mouth
Authors
KeywordsAirway, obstruction, intubation
Intubation, difficult, technique, fibreoptic
Issue Date1996
PublisherCanadian Anesthesiologists' Society. The Journal's web site is located at http://www.cja-jca.org/
Citation
Canadian Journal Of Anaesthesia, 1996, v. 43 n. 11, p. 1156-1160 How to Cite?
AbstractPurpose: To report a safe airway management option in patients with penetrating injury of the floor of the mouth, reinforcing the similar experience of others and illustrating the importance of proper assessment and planning before airway negotiation. Clinical features: A 23-yr-old man was admitted with a penetrating injury of the floor of mouth caused by falling on bamboo and with the foreign body in situ. The extent of penetration could not be assessed clinically but computerized tomography (CT) was used to assist in preoperative evaluation of the airway. After atropine iv, fentanyl iv, topical cocaine and lidocaine spray, awake fibreoptic guided nasal intubation was performed successfully and the patient's airway secured before induction of anaesthesia. Elective tracheostomy was performed postoperatively which was removed on day 5. Postoperative recovery was uneventful. Conclusion: Awake fibreoptic guided nasal intubation was useful in managing the airway of a patient with a penetrating injury of the floor of mouth and foreign body in situ. Thorough previous evaluation of the patient's airway by CT scan, careful topicalisation of the airway, and judicious use of iv sedation and anti-sialogue contributed to the safe and successful airway management.
Persistent Identifierhttp://hdl.handle.net/10722/67327
ISSN
2015 Impact Factor: 2.139
2015 SCImago Journal Rankings: 0.884
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorNg, KFJen_HK
dc.contributor.authorLo, CFen_HK
dc.date.accessioned2010-09-06T05:54:00Z-
dc.date.available2010-09-06T05:54:00Z-
dc.date.issued1996en_HK
dc.identifier.citationCanadian Journal Of Anaesthesia, 1996, v. 43 n. 11, p. 1156-1160en_HK
dc.identifier.issn0832-610Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/67327-
dc.description.abstractPurpose: To report a safe airway management option in patients with penetrating injury of the floor of the mouth, reinforcing the similar experience of others and illustrating the importance of proper assessment and planning before airway negotiation. Clinical features: A 23-yr-old man was admitted with a penetrating injury of the floor of mouth caused by falling on bamboo and with the foreign body in situ. The extent of penetration could not be assessed clinically but computerized tomography (CT) was used to assist in preoperative evaluation of the airway. After atropine iv, fentanyl iv, topical cocaine and lidocaine spray, awake fibreoptic guided nasal intubation was performed successfully and the patient's airway secured before induction of anaesthesia. Elective tracheostomy was performed postoperatively which was removed on day 5. Postoperative recovery was uneventful. Conclusion: Awake fibreoptic guided nasal intubation was useful in managing the airway of a patient with a penetrating injury of the floor of mouth and foreign body in situ. Thorough previous evaluation of the patient's airway by CT scan, careful topicalisation of the airway, and judicious use of iv sedation and anti-sialogue contributed to the safe and successful airway management.en_HK
dc.languageengen_HK
dc.publisherCanadian Anesthesiologists' Society. The Journal's web site is located at http://www.cja-jca.org/en_HK
dc.relation.ispartofCanadian Journal of Anaesthesiaen_HK
dc.subjectAirway, obstruction, intubationen_HK
dc.subjectIntubation, difficult, technique, fibreopticen_HK
dc.subject.meshIntubation, Gastrointestinal - methods-
dc.subject.meshMale-
dc.subject.meshMouth - injuries-
dc.subject.meshTomography, X-Ray Computed-
dc.subject.meshWounds, Penetrating - surgery-
dc.titleThe bamboo skewer: Airway management in a patient with penetrating injury of the floor of mouthen_HK
dc.typeArticleen_HK
dc.identifier.emailNg, KFJ:jkfng@hkucc.hku.hken_HK
dc.identifier.authorityNg, KFJ=rp00544en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/BF03011845-
dc.identifier.pmid8922774en_HK
dc.identifier.scopuseid_2-s2.0-0030484113en_HK
dc.identifier.hkuros22692en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030484113&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume43en_HK
dc.identifier.issue11en_HK
dc.identifier.spage1156en_HK
dc.identifier.epage1160en_HK
dc.identifier.isiWOS:A1996VR15600014-
dc.publisher.placeCanadaen_HK

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