García LMÁ, López LNL, Licea MJC

Language: Spanish
References: 5
Page: 24-27
PDF size: 214.62 Kb.

ABSTRACT

Difficult airway (DAV), is a clinical situation in which a person with conventional airway training presents difficulty with ventilator assistance with a face mask, for ventilation with supraglottic devices, difficulty with endotracheal intubation, difficulty with invasive approach of the airway, for extubation and even more than one of them. The degree of complexity is related to congenital or acquired factors, even a patient may have a mixture of several of them. Complications related to airway management impact patient morbidity and mortality during burn treatment. The clinical evaluation prior to the approach is essential for timely detection and generation of a care plan. Even so, in about 5% of cases, the clinical parameters and office studies are inconclusive, they leave us at a point where we can't discern whether the airway will be difficult or not. The consequences of a burn can prevent adequate evaluation and can put the patient's live at risk during the initial treatment or in the care of the consequences. Therefore, this article serves as a basis to generate the need to create specific predictors for burn patients, update to the current algorithm or generate one that is applied to patients with this kind of injury.

REFERENCES

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3. Prakash S, Mullick P. Airway management in patients with burn contractures of the neck. Burns. 2015; 41 (8): 1627-1635. doi: 10.1016/j.burns.2015.03.011.

4. Onah II. A classification system for postburn mentosternal contractures. Arch Surg. 2005; 140 (7): 671-675. doi: 10.1001/archsurg.140.7.671.

5. García-Lara MA. Vía aérea difícil del paciente gran quemado y con secuelas de quemaduras. Rev Mex Anest. 2014; 37 (Suppl 1): 222-225.