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CASE REPORT
Year : 2019  |  Volume : 2  |  Issue : 2  |  Page : 96-99

Difficult airway caused by retained iron rod penetrating through floor of mouth and base of tongue following road traffic accident: A case report


Department of Anesthesiology and Critical Care, King George's Medical University, Lucknow, Uttar Pradesh, India

Correspondence Address:
Dr. Tanmay Tiwari
Department of Anesthesiology and Critical Care, King George's Medical University, Lucknow - 226 003, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_19_19

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Irrational driving among youth is a matter of serious concern in the present world. India leads the way having one of the highest numbers of road traffic accidents (RTAs) globally. Penetrating injury of the face following RTA can be catastrophic due to the close vicinity of vital structures and major blood vessels. Management of airway is of foremost importance for the successful resuscitation of the trauma patient as per the Advanced Trauma Life Support guidelines. We report a case of successful nasal intubation and subsequent anaesthetic management following sedation with ketamine and dexmedetomidine of a young male with penetrating injury of the floor of mouth and base of tongue by an iron rod. Such a combination of ketamine and dexmedetomidine can be an attractive option for airway management in acute trauma settings.


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