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CASE REPORT
Year : 2022  |  Volume : 5  |  Issue : 3  |  Page : 133-135

Difficult airway following inhalational burn injury in a child


Department of Anaesthesia and Critical Care, Government Medical College, Jammu, Jammu and Kashmir, India

Correspondence Address:
Dr. Megha Gandotra
6D/92 Upper Shiv Nagar, Jammu - 180 005, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/arwy.arwy_28_22

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Airway management in a burn victim poses special challenges for the anaesthesiologist not only during the acute phase but also after delayed consequences have set in resulting in difficulty in airway management. We report a 5-year-old boy who was admitted to the Department of Paediatrics with biphasic stridor 2 months following inhalational burn injury. He presented with complaints of difficulty in swallowing solid food, hoarseness of voice for the past 1 month and occasional difficulty in breathing for the past 10 days. Laryngoscopy using a #2 Macintosh blade revealed pharyngeal stenosis with grossly distorted airway anatomy. The patient was finally intubated after great difficulty with a 3.5 mm internal diameter endotracheal tube using a fibrescope.


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