Induction of General Anaesthesia – Facial Burn

FRCEM EXAM QuestionsCategory: March 2017Induction of General Anaesthesia – Facial Burn
FRCEM Intermediate Staff asked 2 years ago
40 year-old-male patient presented with facial burn after GAS explosion G.C.S 15/15 and all vital signs within normal.
A.Give two signs of airway obstruction? (1 mark)
B.Give two immediate actions if intubation failed? (1 mark)
C.which intubating drug may be contraindicated in burn in that patient? (1 mark)

1 Answers
FRCEM Intermediate Staff answered 2 years ago
A.
stridor, hoarse voice
head and neck swelling
inflamed oropharynx
Singed nasal hair, eyebrows or eyelashes/Soot in the saliva, sputum, nose or mouth

B.
Cease intubation attempts, Re-oxygenate patient using bag-valve-mask ventilation and call for help
Insert LMA/i-gel/Pro seal LMA – oxygenate and ventilate with 100% o2 if it fails
Ventilate with 100% oxygen using bag and face mask with Guedel airway and two hands on the mask

 

https://das.uk.com/guidelines/das_intubation_guidelines

C.
Suxamethonium