Face-to-face awake intubation in an upright position in severe maxillofacial trauma
Laurensia Vidya Ayuningtyas1
, Airi Mutiar2, Prananda Surya Airlangga1,2
1Faculty of Medicine, Airlangga University, Surabaya, Indonesia
2Department of Anesthesiology and Intensive Care, Dr. Soetomo General Hospital, Surabaya, Indonesia
Keywords: Airway management, awake intubation, emergency room intubation, face-to-face intubation, maxillofacial injuries
Abstract
Maxillofacial injury may cause difficulty during airway assessment and management in the emergency setting. Alternative intubation positions and techniques should be considered to ensure patient safety. A 37-year-old male patient arrived at the emergency department with a degloving maxillofacial injury after a high-impact motor vehicle accident. Active bleeding from his wounds prevented him from lying supine and raised concerns of aspiration, requiring immediate securing of the airway. Since the patient was alert and cooperative, awake face-to-face intubation in the upright position was performed. Intubation was successful on the first attempt without any complications using a video laryngoscope with topical anesthesia sprayed intraorally. Awake intubation in the face-to-face upright position can be successful in a cooperative patient with severe maxillofacial trauma.
How to cite this article: Ayuningtyas LV, Mutiar A, Airlangga PS. Face-to-face awake intubation in an upright position in severe maxillofacial trauma. Turk J Emerg Med 2024;24(1):58-61.
Consent to participate is given by the next of kin of the patient reported in this article (see attached file).
Declaration of patient consent
The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that his name and initials will not be published and due efforts will be made to conceal his identity, but anonymity cannot be guaranteed.
LVA: data curation (lead); writing of original draft (lead); visualization (equal); review and editing (equal). AM: conceptualization (lead); visualization (equal); review and editing (equal). PSA: supervision (lead); review and editing (supporting). All authors have read and approved the content of the final manuscript.
None declared.
None.