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CASE REPORT
Year : 2015  |  Volume : 31  |  Issue : 2  |  Page : 250-252

Anesthetic management of post-burn contracture chest with microstomia: Regional nerve blocks to aid in intubation


Department of Anaesthesiology, Government Medical College and Government General Hospital, Anantapuram, Andhra Pradesh, India

Correspondence Address:
Kalavala Lakshminarayana Subramanyam
No. 202, Rajahamsa Rainbow Apartments, Aravinda Nagar, I Cross, Anantapuram - 515 001, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-9185.155160

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This case report exemplifies the anesthetic technique of blocking bilateral infraorbital and mental nerves for release of contractures of mouth. A 30 year old female patient of post-acid burn contractures of chest wall and mouth was scheduled for contracture release and skin grafting. Airway assessment revealed severe restriction of mouth opening with limited restriction of neck movements. Contracture release of mouth conducted by blocking bilateral infraorbital and mental nerves, which facilitated intubation easily. This case report highlights the practical advantage of nerve blocks for release of contracture mouth, in case of anticipated difficult airway, over other conventional methods.


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