Combined technique of anesthesia in early and late neck reconstruction.
Acta Chir Plast
; 39(2): 56-9, 1997.
Article
en En
| MEDLINE
| ID: mdl-9294908
Once the notion of the "quality of life" has been used in deliberations about straight-forward cases, it may be given wider application. It may be invoked in intensive care, in care of the handicapped and in any of medicine's specialist areas. In severe burns to keep the patient alive occurs at the cost of a degree of discomfort and disability caused by scar formation and following deformities. Severe anterior neck burn scar contracture issues in serious functional embarrassment, requiring early neck reconstruction based on three principles: releasing shrinked area, restoring contour of the mento-collical angle and preventing recurrence. Performing the surgical procedure demands endotracheal intubation which is impossible to accomplish because of chin adherent to jugulum. Combined technique of anesthesia using intravenous introduction (Ketalar) with or without local infiltration of the anterior neck scarring and immediate cutting through to the healthy muscle layer is necessary. Then follows insertion of endotracheal tube. The interval between incision and insertion may be rather crucial, as will be demonstrated in one of the cases treated in the Prague Burn Center during the last two decades.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía Plástica
/
Quemaduras
/
Traumatismos del Cuello
/
Anestesia
/
Cuello
Aspecto:
Patient_preference
Límite:
Adolescent
/
Child
/
Humans
/
Male
Idioma:
En
Revista:
Acta Chir Plast
Año:
1997
Tipo del documento:
Article
País de afiliación:
República Checa
Pais de publicación:
República Checa