Release of Post Burn Contracture neck under Tumescent Anaesthesia

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.

Downloads

Download data is not yet available.

Downloads

Published

2011-01-01

How to Cite

Uma, G., Ghori, F., Vishwanathan, P., Reddy, P. B., & Siddiqi, S. (2011). Release of Post Burn Contracture neck under Tumescent Anaesthesia. Karnataka Anaesthesia Journal, 12(1), 55–59. Retrieved from http://karnatakaanesthesiajournal.in/index.php/kaj/article/view/143652

Issue

Volume 12, Issue 1, 2011

Section

Case Reports

References

Sudhir K, Asthana V, Payal YS, Agarwal S, Singh DK, Srivastava N. Airway management in fixed flexion deformity using an alternative method of ILMA insertion. Indian J Anaes 2008; 52:440-2

Shiby Ninan, Gupta AK, Ramkumar G, A technique in positioning the neck during mentosternal contracture release. Burns 2003; 29:613-4

Nath S, Erzingatsian K, Simond S. Management of post bum contracture of the neck. Burns 1994; 20:43841

Pawan A. Safe method for the release of severe post bum neck contracture under tumescent local anaesthesia and ketamine. Indian J of Plastic Surgery, Jan-June 2004;37:51-4.

Al-Zacko SM,A1-Kazzaz DA. Initial release of severe post-burn contracture scar of the neck for intubation under ketamine. Annals of Burns and Fire Disorders, Vol. XXII -n4 - December 2009; pg 196-9.

Jandova J, Konigova R, Kapounkova Z, Broz L. combined technique of anaesthesia in early and late neck contracture. Acta Chir. Plast, 1997; 39: 56-9, abstract.

Ovassapian A, Yelich S, Dykis M, Bmnner E. Fiberoptic nasotracheal intubation - incidence and causes of failure. Anaesth. Arialg., 1983; 62:692-5.

Kreulen M, Mackie D, Kreis R, Groenevelt F. Surgical release for intubation purposes in post burn contracture of the neck. Burns, 1996; 22:310-2.

Sarasv^^at M, Radhakrishnan M. Burn contracture of neck : Two case reports of difficult intubation. The internet journal of anaesthesiology, 2001; Vol 5, No 3.

Bussolin L, Busino P, Gioi^i L, Crescioli M, Messeri A. Tumescent local anaesthesia for the surgical treatment of burns and post burns sequrlae in pediatric patients. Anaesthesiology, Dec 2003; vol 99 isssue 6:1371-5.

Rajeev S. Tumescent anaesthesia for post burn contracture release. Indian J Anaes,Nov-Dec 2010; Vol 54 issue 6:579-80.

Saraf S, Goyal P, Ranka P. Tumescent anaesthesia : a useful technique for harvesting split thickness skin graft. Indian J Dermayol 2004;49:184-6.