Pre-anaesthetic Evaluation & Airway · NEET PG Preparation Anaesthesia
A 35-year-old male is brought to the emergency department following a motor vehicle collision with massive facial trauma, severe bleeding into the or…
Practice question from Pre-anaesthetic Evaluation & Airway (NEET PG Preparation Anaesthesia), with the correct answer and a step-by-step solution.
medium · MCQ · Q-00D3CB
A 35-year-old male is brought to the emergency department following a motor vehicle collision with massive facial trauma, severe bleeding into the oral cavity, and complete distortion of upper airway anatomy. Bag-mask ventilation is failing due to blood clots and facial fractures. The immediate procedure of choice to secure his airway is:
- A.Rapid sequence intubation with a Macintosh blade
- B.Awake fiberoptic intubation
- C.Surgical cricothyroidotomyCorrect answer
- D.Insertion of a classic laryngeal mask airway (LMA)
Solution
When upper airway anatomy is distorted, bleeding is profuse, and both bag-mask ventilation and conventional/supraglottic intubation fail or are contraindicated (the 'Cannot Maintain Oxygenation / Cannot Ventilate' scenario), an emergency surgical or percutaneous cricothyroidotomy is the definitive life-saving airway intervention.
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