Anest. intenziv. Med. 2001;12(5):220-222

Inflammatory Disease in the Jaw Region - Difficult IntubationArticles

P. Havel¹, J. Walter², D. Hrušák², M. Nová¹, E. Boháčová¹

¹ Anesteziologicko-resuscitační klinika FN Plzeň, přednosta doc. MUDr. Eduard Kasal, CSc.

² Oddělení maxilofaciální chirurgie, stomatologická klinika LF UK a FN v Plzni, přednosta prof. MUDr. Jan Kilian, DrSc.

Patients with inflammatory disease in oropharyngeal region represent a substantial part of patients acutely operated on in the Department ofmaxillofacial surgery. Except for rare cases, radical surgical repair needs for general endotracheal anaesthesia. Jaw contracture, perifocal edema orinflammatory infiltration of oropharynx or hypopharynx in patients with low trigger to laryngospasm stand for the key factors complicating classicendotracheal intubation, requiring for more specialized techniques. The results of a five-year observational study are presented in the paper. Basedon the results, there are presented recommendations regarding safe induction and maintenance of general anaesthesia.

Keywords: jaw inflammation; contracture; difficult airway; fiberoptic bronchoscope

Published: October 1, 2001  Show citation