Karnataka Anaesthesia Journal

Open Access Open Access  Restricted Access Subscription Access

Release of Post Burn Contracture neck under Tumescent Anaesthesia


Affiliations
1 Lecturer, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS tJniversity, Mysore
2 Lecturer, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
3 Professor & HOD, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
4 Post Graduate Student, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
 

Severe post burn contracture(PBC) of the neck poses multiple challenges for the Anaesthesiologist as fixed flexion deformity of the neck makes airway management a challenge. We had a young female with PBC of neck posted for contracture release and split skin grafting. She was managed with tumescent local anaesthesia(TLA), ketamine and propofol infusion. This technique of anaesthesia obviated the need for endotracheal intubation. There were no attributable complications. There was no graft loss and blood loss during surgery was minimal.
User
Notifications
Font Size

Abstract Views: 140

PDF Views: 72




  • Release of Post Burn Contracture neck under Tumescent Anaesthesia

Abstract Views: 140  |  PDF Views: 72

Authors

G. Uma
Lecturer, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS tJniversity, Mysore
Farzana Ghori
Lecturer, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
P.N. Vishwanathan
Professor & HOD, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
Preethi B. Reddy
Post Graduate Student, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore
Saifil Siddiqi
Post Graduate Student, Dept. of Anaesthesiology, JSS Medical College Hospital, JSS University, Mysore

Abstract


Severe post burn contracture(PBC) of the neck poses multiple challenges for the Anaesthesiologist as fixed flexion deformity of the neck makes airway management a challenge. We had a young female with PBC of neck posted for contracture release and split skin grafting. She was managed with tumescent local anaesthesia(TLA), ketamine and propofol infusion. This technique of anaesthesia obviated the need for endotracheal intubation. There were no attributable complications. There was no graft loss and blood loss during surgery was minimal.