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Volume 27, Issue 133, March 2023

Anaesthetic challenges in a case of polytrauma with hypovolemic shock, pneumothorax and anticipated difficult airway

Deeksha Mishra¹, Vivek Chakole²

¹Junior Resident, Department of Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (meghe), Wardha, India
²Professor and HOD, Department of Anaesthesia, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (meghe), Wardha, India

ABSTRACT

Beginning at the site of the injury, the continuum of resuscitation extends through the operating room and onto the intensive care unit (ICU). The key to high success rates understands the importance of early resuscitation and trauma management in the resuscitation continuum. Securing the airway, careful fluid management, anaesthesia and anaesthetic drug selection are essential for achieving the best results. In our case report, we discuss the management of a 39-year-old man who was involved in a road accident that resulted in a crush injury to his right leg and massive subdural haemorrhage in the left frontal and temporal lobes. We also analyse how careful selection of drugs and resuscitation was used to maintain hemodynamic stability along with facing and managing a "can't intubate, can't ventilate" situation.

Keywords: Difficult airway, percutaneous tracheostomy, craniotomy, hypovolemic shock