Classic Laryngeal Mask Airway : 180 Degree  Rotation Technique for Airway Management  of Post Burn Contracture of Face and Neck in  Paediatric Patient

Dr Santosh Kumar Sharma; Dr Shahbaz Ahmad; Dr Virendra

Volume : II, Issue : IV, April - 2013

Classic Laryngeal Mask Airway : 180 Degree Rotation Technique for Airway Management of Post Burn Contracture of Face and Neck in Paediatric Patient

Dr Santosh Kumar Sharma, Dr Shahbaz Ahmad, Dr Virendra

Abstract :

Airway management of post burn contracture face and neck in paediatric patients is an anaesthetic challenge posing unique technical difficulties. Flexible fie optic onchoscope guided awake intubation is not possible in paediatric age group as they have to be deeply sedated or anaesthetised. We present the successful management of a 12 year old boy with post burn contracture of face and neck with fixed flexion deformity and microstomia planned for contracture release and a right supraclavicular pedicle flap repair. The patient was induced with halothane and 100% oxygen and a Classic Laryngeal mask airway (LMA) of size 2.5 was inserted by the 180 degree rotational technique.