Publication

Airway Management in Facial Trauma Patients

Journal Paper/Review - Sep 15, 2015

Units
PubMed
Doi

Citation
Jacomet A, Tasman A. Airway Management in Facial Trauma Patients. Facial Plast Surg 2015; 31:319-24.
Type
Journal Paper/Review (English)
Journal
Facial Plast Surg 2015; 31
Publication Date
Sep 15, 2015
Issn Electronic
1098-8793
Pages
319-24
Brief description/objective

Airway management in craniofacial trauma patients is a challenge for an anesthetist. Treating these patients requires a close interdisciplinary communication and cooperation. Maintaining the airway and oxygenation of the patient is the initial challenge in craniofacial trauma patients. The management of the difficult airway is facilitated and patient's safety improved by following one of several published difficult airway algorithms. We describe the St. Gallen difficult airway algorithm for the management of difficult airway in general and the airway in facial trauma patients in particular. Whenever possible, the airway should be secured in a conscious and spontaneously breathing patient. It is important to be familiar with different techniques and to change the approach after two unsuccessful attempts with one technique. Once the airway is established, all available preventive measures should be used to avoid losing the airway. A tracheotomy has its place in a significant number of patients in whom an immediate postoperative or a delayed extubation appears unfeasible.