PROBLEMS ASSOCIATED WITH NECK CONTRACTURE Malnourished, anaemic, hypoproteinemia Psychiatric tendencies and possible drug interactions (MAO inhibitors where mephentermine is not given) Poor oral hygiene, hypothermia, inaccurate estimation of blood loss, drug dependency. Difficulty in establishing venous access, Extracellular fluid is more than intracellular Succinylcholine is contraindicated upto 2yrs after burns.
RELEVANT EXAMINATION OF PATIENT PATIENT SHOULD BE EXAMINED IN SITTING POSITION WITH MOUTH OPENED AND TONGUE PROTRUDED Nature of contracture (soft/firm) Location of contracture Duration of contracture Extent of contracture Is mouth opening restricted? Mandible moved up or down Nasal passages patent or not Is patient dyspnoeic or not Can he blow air through mouth and nose Movement at atlanto-occipital joint Stiff neck or any cervical spine injury…
