Karnataka Anaesthesia Journal

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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.
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