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BioMed Research International
Volume 2015, Article ID 724032, 9 pages
http://dx.doi.org/10.1155/2015/724032
Review Article

Airway Management of the Patient with Maxillofacial Trauma: Review of the Literature and Suggested Clinical Approach

1Department of Anesthesiology, Rambam Health Care Campus, and the Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, 31069 Haifa, Israel
2Trauma Center & Emergency Surgery, Department of General Surgery, Rambam Health Care Campus, 31096 Haifa, Israel
3Department of Oral and Maxillofacial Surgery, Rambam Health Care Campus, 31096 Haifa, Israel
4Department of Oral and Maxillofacial Surgery, Baruch Padeh Medical Center, Affiliated to the Faculty of Medicine of Bar-Ilan University, Poriya, 15208 Tiberias, Israel

Received 14 December 2014; Accepted 10 February 2015

Academic Editor: Kamil Toker

Copyright © 2015 Michal Barak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. I. Hutchison, M. Lawlor, and D. Skinner, “ABC of major trauma. Major maxillofacial injuries,” British Medical Journal, vol. 301, no. 6752, pp. 595–599, 1990. View at Publisher · View at Google Scholar · View at Scopus
  2. Committee on Trauma and American College of Surgeons, Advanced Trauma Life Support for Doctors ATLS, American College of Surgeons, Chicago, Ill, USA, 8th edition, 2008.
  3. R. M. Walls, “Management of the difficult airway in the trauma patient,” Emergency Medicine Clinics of North America, vol. 16, no. 1, pp. 45–61, 1998. View at Publisher · View at Google Scholar · View at Scopus
  4. O. Langeron, A. Birenbaum, and J. Amour, “Airway management in trauma,” Minerva Anestesiologica, vol. 75, no. 5, pp. 307–311, 2009. View at Google Scholar · View at Scopus
  5. A. Garcia, “Critical care issues in the early management of severe trauma,” Surgical Clinics of North America, vol. 86, no. 6, pp. 1359–1387, 2006. View at Publisher · View at Google Scholar · View at Scopus
  6. R. L. Gruen, G. J. Jurkovich, L. K. McIntyre, H. M. Foy, and R. V. Maier, “Patterns of errors contributing to trauma mortality: lessons learned from 2594 deaths,” Annals of Surgery, vol. 244, no. 3, pp. 371–378, 2006. View at Publisher · View at Google Scholar · View at Scopus
  7. B. A. Sellick, “Cricoid pressure to control regurgitation of stomach contents during induction of anaesthesia,” The Lancet, vol. 278, no. 7199, pp. 404–406, 1961. View at Publisher · View at Google Scholar · View at Scopus
  8. N. Haslam, L. Parker, and J. E. Duggan, “Effect of cricoid pressure on the view at laryngoscopy,” Anaesthesia, vol. 60, no. 1, pp. 41–47, 2005. View at Publisher · View at Google Scholar · View at Scopus
  9. D. Y. Ellis, T. Harris, and D. Zideman, “Cricoid pressure in emergency department rapid sequence tracheal intubations: a risk-benefit analysis,” Annals of Emergency Medicine, vol. 50, no. 6, pp. 653–665, 2007. View at Publisher · View at Google Scholar · View at Scopus
  10. N. Bhatia, H. Bhagat, and I. Sen, “Cricoid pressure: where do we stand?” Journal of Anaesthesiology Clinical Pharmacology, vol. 30, no. 1, pp. 3–6, 2014. View at Publisher · View at Google Scholar · View at Scopus
  11. S. K. Beckers, J. C. Brokmann, and R. Rossaint, “Airway and ventilator management in trauma patients,” Current Opinion in Critical Care, vol. 20, no. 6, pp. 626–631, 2014. View at Publisher · View at Google Scholar
  12. B. T. Jamal, R. Diecidue, A. Qutub, and M. Cohen, “The pattern of combined maxillofacial and cervical spine fractures,” Journal of Oral and Maxillofacial Surgery, vol. 67, no. 3, pp. 559–562, 2009. View at Publisher · View at Google Scholar · View at Scopus
  13. S. A. Rahman and S. Chandrasala, “When to suspect head injury or cervical spine injury in maxillofacial trauma?” Dental Research Journal, vol. 11, no. 3, pp. 336–344, 2014. View at Google Scholar
  14. E. T. Crosby, “Airway management in adults after cervical spine trauma,” Anesthesiology, vol. 104, no. 6, pp. 1293–1318, 2006. View at Publisher · View at Google Scholar · View at Scopus
  15. S. Manoach and L. Paladino, “Manual in-line stabilization for acute airway management of suspected cervical spine injury: historical review and current questions,” Annals of Emergency Medicine, vol. 50, no. 3, pp. 236–245, 2007. View at Publisher · View at Google Scholar · View at Scopus
  16. B. G. Santoni, B. J. Hindman, C. M. Puttlitz et al., “Manual in-line stabilization increases pressures applied by the laryngoscope blade during direct laryngoscopy and orotracheal intubation,” Anesthesiology, vol. 110, no. 1, pp. 24–31, 2009. View at Publisher · View at Google Scholar · View at Scopus
  17. C. Kill, J. Risse, P. Wallot, P. Seidl, T. Steinfeldt, and H. Wulf, “Videolaryngoscopy with glidescope reduces cervical spine movement in patients with unsecured cervical spine,” Journal of Emergency Medicine, vol. 44, no. 4, pp. 750–756, 2013. View at Publisher · View at Google Scholar · View at Scopus
  18. A. Robitaille, S. R. Williams, M.-H. Tremblay, F. Guilbert, M. Thériault, and P. Drolet, “Cervical spine motion during tracheal intubation with manual in-line stabilization: direct laryngoscopy versus GlideScope videolaryngoscopy,” Anesthesia and Analgesia, vol. 106, no. 3, pp. 935–941, 2008. View at Publisher · View at Google Scholar · View at Scopus
  19. N. Bhardwaj, K. Jain, M. Rao, and A. K. Mandal, “Assessment of cervical spine movement during laryngoscopy with Macintosh and Truview laryngoscopes,” Journal of Anaesthesiology Clinical Pharmacology, vol. 29, no. 3, pp. 308–312, 2013. View at Publisher · View at Google Scholar · View at Scopus
  20. S. R. Thaller and S. L. Beal, “Maxillofacial trauma: a potentially fatal injury,” Annals of Plastic Surgery, vol. 27, no. 3, pp. 281–283, 1991. View at Publisher · View at Google Scholar · View at Scopus
  21. T. Harris, S. Rice, B. Watts, and G. Davies, “The emergency control of traumatic maxillofacial haemorrhage,” European Journal of Emergency Medicine, vol. 17, no. 4, pp. 230–233, 2010. View at Publisher · View at Google Scholar · View at Scopus
  22. W. H. Liu, Y. H. Chen, C. T. Hsieh, E. Y. Lin, T. T. Chung, and D. T. Ju, “Transarterial embolization in the management of life-threatening hemorrhage after maxillofacial trauma: a case report and review of literature,” The American Journal of Emergency Medicine, vol. 26, no. 4, pp. 516.e3–516.e5, 2008. View at Publisher · View at Google Scholar · View at Scopus
  23. S. Khanna and A. B. Dagum, “A critical review of the literature and an evidence-based approach for life-threatening hemorrhage in maxillofacial surgery,” Annals of Plastic Surgery, vol. 69, no. 4, pp. 474–478, 2012. View at Publisher · View at Google Scholar · View at Scopus
  24. T. C. Mort, “Complications of emergency tracheal intubation: immediate airway-related consequences: part II,” Journal of Intensive Care Medicine, vol. 22, no. 4, pp. 208–215, 2007. View at Publisher · View at Google Scholar · View at Scopus
  25. M. W. Mechlin and W. E. Hurford, “Emergency tracheal intubation: techniques and outcomes,” Respiratory Care, vol. 59, no. 6, pp. 881–894, 2014. View at Publisher · View at Google Scholar
  26. J. F. Boylan and B. P. Kavanagh, “Emergency airway management: competence versus expertise?” Anesthesiology, vol. 109, no. 6, pp. 945–947, 2008. View at Publisher · View at Google Scholar · View at Scopus
  27. G. Kovacs, J. A. Law, J. Ross et al., “Acute airway management in the emergency department by non-anesthesiologists,” Canadian Journal of Anesthesia, vol. 51, no. 2, pp. 174–180, 2004. View at Publisher · View at Google Scholar · View at Scopus
  28. R. M. Walls, C. A. Brown III, A. E. Bair, and D. J. Pallin, “Emergency airway management: a multi-center report of 8937 Emergency Department intubations,” Journal of Emergency Medicine, vol. 41, no. 4, pp. 347–354, 2011. View at Publisher · View at Google Scholar · View at Scopus
  29. J. W. Tuckett, A. Lynham, G. A. Lee, M. Perry, and U. Harrington, “Maxillofacial trauma in the emergency department: a review,” Surgeon, vol. 12, no. 2, pp. 106–114, 2014. View at Publisher · View at Google Scholar · View at Scopus
  30. J. C. Phero, M. B. Rosenberg, and J. A. Giovannitti Jr., “Adult airway evaluation in oral surgery,” Oral & Maxillofacial Surgery Clinics of North America, vol. 25, no. 3, pp. 385–399, 2013. View at Publisher · View at Google Scholar · View at Scopus
  31. R. Peralta and W. E. Hurford, “Airway trauma,” International Anesthesiology Clinics, vol. 38, no. 3, pp. 111–127, 2000. View at Google Scholar · View at Scopus
  32. J. L. Apfelbaum, C. A. Hagberg, R. A. Caplan et al., “Practice guidelines for management of the difficult airway: an updated report by the American Society of Anesthesiologists Task Force on Management of the Difficult Airway,” Anesthesiology, vol. 118, no. 2, pp. 251–270, 2013. View at Publisher · View at Google Scholar · View at Scopus
  33. C. G. Robertson and J. C. Doucet, “Helping anesthesiologists understand facial fractures,” Oral and Maxillofacial Surgery Clinics of North America, vol. 25, no. 4, pp. 561–572, 2013. View at Publisher · View at Google Scholar · View at Scopus
  34. J. Mayglothling, T. M. Duane, M. Gibbs et al., “Emergency tracheal intubation immediately following traumatic injury: an eastern association for the surgery of trauma practice management guideline,” Journal of Trauma and Acute Care Surgery, vol. 73, supplement 4, no. 5, pp. S333–S340, 2012. View at Publisher · View at Google Scholar · View at Scopus
  35. J. B. Gaither, D. W. Spaite, U. Stolz, J. Ennis, J. Mosier, and J. J. Sakles, “Prevalence of difficult airway predictors in cases of failed prehospital endotracheal intubation,” Journal of Emergency Medicine, vol. 47, no. 3, pp. 294–300, 2014. View at Publisher · View at Google Scholar · View at Scopus
  36. P. A. Baker, B. T. Flanagan, K. B. Greenland et al., “Equipment to manage a difficult airway during anaesthesia,” Anaesthesia & Intensive Care, vol. 39, no. 1, pp. 16–34, 2011. View at Google Scholar · View at Scopus
  37. M. F. Aziz, D. Healy, S. Kheterpal, R. F. Fu, D. Dillman, and A. M. Brambrink, “Routine clinical practice effectiveness of the glidescope in difficult airway management: an analysis of 2,004 glidescope intubations, complications, and failures from two institutions,” Anesthesiology, vol. 114, no. 1, pp. 34–41, 2011. View at Publisher · View at Google Scholar · View at Scopus
  38. R. Schalk, C. Byhahn, F. Fausel et al., “Out-of-hospital airway management by paramedics and emergency physicians using laryngeal tubes,” Resuscitation, vol. 81, no. 3, pp. 323–326, 2010. View at Publisher · View at Google Scholar · View at Scopus
  39. K. Ruetzler, B. Roessler, L. Potura et al., “Performance and skill retention of intubation by paramedics using seven different airway devices-a Manikin Study,” Resuscitation, vol. 82, no. 5, pp. 593–597, 2011. View at Publisher · View at Google Scholar · View at Scopus
  40. G. Goliasch, A. Ruetzler, H. Fischer, M. Frass, D. I. Sessler, and K. Ruetzler, “Evaluation of advanced airway management in absolutely inexperienced hands: a randomized manikin trial,” European Journal of Emergency Medicine, vol. 20, no. 5, pp. 310–314, 2013. View at Publisher · View at Google Scholar · View at Scopus
  41. G. Grier, P. Bredmose, G. Davies, and D. Lockey, “Introduction and use of the ProSeal laryngeal mask airway as a rescue device in a pre-hospital trauma anaesthesia algorithm,” Resuscitation, vol. 80, no. 1, pp. 138–141, 2009. View at Publisher · View at Google Scholar · View at Scopus
  42. R. L. Mabry and A. Frankfurt, “Advanced airway management in combat casualties by medics at the point of injury: a sub-group analysis of the reach study,” Journal of Special Operations Medicine, vol. 11, no. 2, pp. 16–19, 2011. View at Google Scholar
  43. B. D. Adams, P. A. Cuniowski, A. Muck, and R. A. de Lorenzo, “Registry of emergency airways arriving at combat hospitals.,” The Journal of trauma, vol. 64, no. 6, pp. 1548–1554, 2008. View at Publisher · View at Google Scholar · View at Scopus
  44. D. T. Wong, J. J. Yang, H. Y. Mak, and N. Jagannathan, “Use of intubation introducers through a supraglottic airway to facilitate tracheal intubation: a brief review,” Canadian Journal of Anesthesia, vol. 59, no. 7, pp. 704–715, 2012. View at Publisher · View at Google Scholar · View at Scopus
  45. M.-C. Vézina, C. A. Trépanier, P. C. Nicole, and M. R. Lessard, “Complications associated with the Esophageal-Tracheal Combitube in the pre-hospital setting,” Canadian Journal of Anesthesia, vol. 54, no. 2, pp. 124–128, 2007. View at Publisher · View at Google Scholar · View at Scopus
  46. D. P. Dob, H. A. McLure, and N. Soni, “Failed intubation and emergency percutaneous tracheostomy,” Anaesthesia, vol. 53, no. 1, pp. 72–74, 1998. View at Publisher · View at Google Scholar · View at Scopus
  47. M. Helm, A. Gries, and T. Mutzbauer, “Surgical approach in difficult airway management,” Best Practice & Research: Clinical Anaesthesiology, vol. 19, no. 4, pp. 623–640, 2005. View at Publisher · View at Google Scholar · View at Scopus
  48. A. E. Hamaekers and J. J. Henderson, “Equipment and strategies for emergency tracheal access in the adult patient,” Anaesthesia, vol. 66, no. 2, pp. 65–80, 2011. View at Publisher · View at Google Scholar · View at Scopus
  49. P. A. Kearney, M. M. Griffen, J. B. Ochoa, B. R. Boulanger, B. J. Tseui, and R. M. Mentzer Jr., “A single-center 8-year experience with percutaneous dilational tracheostomy,” Annals of Surgery, vol. 231, no. 5, pp. 701–709, 2000. View at Publisher · View at Google Scholar · View at Scopus
  50. H.-W. Yuen, A. H.-C. Loy, and S. Johari, “Urgent awake tracheotomy for impending airway obstruction,” Otolaryngology—Head and Neck Surgery, vol. 136, no. 5, pp. 838–842, 2007. View at Publisher · View at Google Scholar · View at Scopus
  51. K. W. Altman, J. D. Waltonen, and R. C. Kern, “Urgent surgical airway intervention: a 3 year county hospital experience,” Laryngoscope, vol. 115, no. 12, pp. 2101–2104, 2005. View at Publisher · View at Google Scholar · View at Scopus
  52. P. Gupta and A. Modrykamien, “Fatal case of tension pneumothorax and subcutaneous emphysema after open surgical tracheostomy,” Journal of Intensive Care Medicine, vol. 29, no. 5, pp. 298–301, 2014. View at Publisher · View at Google Scholar
  53. S. Cooper, “We need to cut the neck!: confronting psychological and moral distress during cricothyrotomy,” Narrative Inquiry in Bioethics, vol. 3, no. 2, pp. E5–E9, 2013. View at Google Scholar
  54. K. B. Greenland, C. Acott, R. Segal, G. Goulding, R. H. Riley, and A. F. Merry, “Emergency surgical airway in life-threatening acute airway emergencies—why are we so reluctant to do it?” Anaesthesia & Intensive Care, vol. 39, no. 4, pp. 578–584, 2011. View at Google Scholar · View at Scopus
  55. J. K. Dillon, B. Christensen, T. Fairbanks, G. Jurkovich, and K. S. Moe, “The emergent surgical airway: cricothyrotomy vs tracheotomy,” International Journal of Oral and Maxillofacial Surgery, vol. 42, no. 2, pp. 204–208, 2013. View at Publisher · View at Google Scholar · View at Scopus
  56. R. L. Mabry, “An analysis of battlefield cricothyrotomy in Iraq and Afghanistan,” Journal of Special Operations Medicine, vol. 12, no. 1, pp. 17–23, 2012. View at Google Scholar
  57. V. K. Srivastava, S. Agrawal, R. Kumar, and P. P. Misra, “Bradycardia and hypotension during laryngoscopy for intubation in maxillofacial trauma,” Saudi Journal of Anaesthesia, vol. 6, no. 4, pp. 436–437, 2012. View at Publisher · View at Google Scholar · View at Scopus
  58. C. E. J. Hall and L. E. Shutt, “Nasotracheal intubation for head and neck surgery,” Anaesthesia, vol. 58, no. 3, pp. 249–256, 2003. View at Publisher · View at Google Scholar · View at Scopus
  59. D. A. Muzzi, T. J. Losasso, and R. F. Cucchiara, “Complication from a nasopharyngeal airway in a patient with a basilar skull fracture,” Anesthesiology, vol. 74, no. 2, pp. 366–368, 1991. View at Publisher · View at Google Scholar · View at Scopus
  60. P. Talving, J. DuBose, K. Inaba, and D. Demetriades, “Conversion of emergent cricothyrotomy to tracheotomy in trauma patients,” Archives of Surgery, vol. 145, no. 1, pp. 87–91, 2010. View at Publisher · View at Google Scholar · View at Scopus
  61. A. Vashishta, S. Sharma, A. Chugh, D. Jain, N. Gupta, and U. Bihani, “Submental intubation: a useful adjunct in panfacial trauma,” National Journal of Maxillofacial Surgery, vol. 1, no. 1, pp. 74–77, 2010. View at Publisher · View at Google Scholar
  62. P. Schütz and H. H. Hamed, “Submental intubation versus tracheostomy in maxillofacial trauma patients,” Journal of Oral and Maxillofacial Surgery, vol. 66, no. 7, pp. 1404–1409, 2008. View at Publisher · View at Google Scholar · View at Scopus
  63. B. Eisemann, M. Eisemann, M. Rizvi, M. M. Urata, and M. A. Lypka, “Defining the role for submental intubation,” Journal of Clinical Anesthesia, vol. 26, no. 3, pp. 238–242, 2014. View at Publisher · View at Google Scholar · View at Scopus
  64. G. L. de Toledo, S. C. Bueno, R. A. Mesquita, and M. B. F. Amaral, “Complications from submental endotracheal intubation: a prospective study and literature review,” Dental Traumatology, vol. 29, no. 3, pp. 197–202, 2013. View at Publisher · View at Google Scholar · View at Scopus
  65. G. Mittal, R. K. Mittal, S. Katyal, S. Uppal, and V. Mittal, “Airway management in maxillofacial trauma: do we really need tracheostomy/ submental intubation,” Journal of Clinical and Diagnostic Research, vol. 8, no. 3, pp. 77–79, 2014. View at Publisher · View at Google Scholar · View at Scopus
  66. G. N. Peterson, K. B. Domino, R. A. Caplan, K. L. Posner, L. A. Lee, and F. W. Cheney, “Management of the difficult airway: a closed claims analysis,” Anesthesiology, vol. 103, no. 1, pp. 33–39, 2005. View at Publisher · View at Google Scholar · View at Scopus
  67. H. E. Jahromi, M. Gholami, and F. Rezaei, “A randomized double-blinded placebo controlled study of four interventions for the prevention of postoperative nausea and vomiting in maxillofacial trauma surgery,” Journal of Craniofacial Surgery, vol. 24, no. 6, pp. e623–e627, 2013. View at Publisher · View at Google Scholar · View at Scopus