Difficult Airway Management in Field Conditions: Somalia Experience [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. 2015; 43(5): 352-355 | DOI: 10.5152/TJAR.2015.24445  

Difficult Airway Management in Field Conditions: Somalia Experience

Ahmet Selim Özkan1, Serdar Nazif Nasır2
1Department of Anaesthesiology and Reanimation, İnönü University Faculty of Medicine, Malatya, Turkey
2Department of Plastic Reconstructive and Aesthetical Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey

Endotracheal intubation (ETI) is a standard technique used for airway control under general anaesthesia (1). Difficult airway is defined as a case in which an anaesthetist has difficulty in ventilation with a mask and/or ETI (2). During ETI, difficult airway can develop at a rate of 1.5–20%, and 2–3% of these cases can be serious (3). Difficult airway is the most common cause of mortality and morbidity associated with anaesthesia. Many anatomical factors, inherited or acquired, can lead to difficult airway. The availability of all necessary equipment for the airway management of these patients will decrease the rate of mortality and number of complications. Although airway difficulty can be predicted with a good history taking, physical examination and some tests during pre-anaesthesia evaluation (Mallampati scoring, sternomental and thyromental distance, extension degree of the head, radiological examination, etc.), an unexpected difficult airway can sometimes be encountered. In cases where intubation cannot be provided with a direct laryngoscope, different intubation techniques can also be tried. When intubation is unsuccessful despite all techniques, airway management can be provided through tracheostomy. In this case report, the airway management of a patient who previously underwent a repair surgery with a reconstruction plaque in Somali, which had field conditions, due to a bone defect in the mandible was presented.

Keywords: General anaesthesia, difficult airway, field conditions, Somalia


Sahra Şartlarında Zor Havayolu Yönetimi: Somali Deneyimi

Ahmet Selim Özkan1, Serdar Nazif Nasır2
1İnönü Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon Anabilim Dalı
2Hacettepe Üniversitesi Tıp Fakültesi Plastik,rekonstrüktif Ve Estetik Cerrahi Anabilim Dalı

Deneyimli bir anestezi uzmanının, hastanın maske ventilasyonunda veya endotrakeal entübasyonunda zorluk yaşaması zor havayolu olarak tanımlanmaktadır. Kalıtsal veya edinsel bir çok anatomik etken zor havayoluna neden olabilir. Bu hastaların havayolu yönetiminde gerekli olabilecek tüm ekipmanların hazır bulundurulması mortalite ve komplikasyonları azaltacaktır. Bu olgu sunumunda, daha önce mandibulada kemik defekti nedeniyle rekonstrüksiyon plağı ile onarım yapılan olgunun, sahra şartlarının olduğu Somali’de, mandibula rekonstrüksiyonunda karşılaşılan zor havayolu yönetiminin sunulması amaçlanmıştır.

Anahtar Kelimeler: Genel anestezi, zor havayolu, sahra şartları, Somali


Ahmet Selim Özkan, Serdar Nazif Nasır. Difficult Airway Management in Field Conditions: Somalia Experience. Turk J Anaesthesiol Reanim. 2015; 43(5): 352-355

Corresponding Author: Ahmet Selim Özkan, Türkiye


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