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Correspondence

Bleeding mandibular AVM: Airway management

Authors:

Tarandeep Singh ,

IN
About Tarandeep

Assistant Professor, Department of Anaesthesia
Pt Bd Sharma
PGIMS
Rohtak (Haryana)

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Savita Saini,

IN
About Savita
Senior Professor, Department of Anaesthesia
Pt Bd Sharma
PGIMS
Rohtak (Haryana)
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Asha Anand,

IN
About Asha
Senior Resident, Department of Anaesthesia
Pt Bd Sharma
PGIMS
Rohtak (Haryana)
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Jatin Lal,

IN
About Jatin
Associate Professor, Department of Anaesthesia
Pt Bd Sharma
PGIMS
Rohtak (Haryana)
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Kiranpreet Kaur

IN
About Kiranpreet
Assistant Professor, Department of Anaesthesia
Pt Bd Sharma
PGIMS
Rohtak (Haryana)
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Abstract

Arteriovenous Malformation (AVM) of mandible  may present as life threatening haemorrhage. Securing airway and giving general anaesthesia  in such a patient with constant bleeding is a challenging task. A eight  year old female presented as a dental emergency with a profusely bleeding AVM of mandible.The bleeding was controlled by the surgeon by digital pressure, the release of which resulted in flooding of airway with blood. We failed to maintain adequate seal using anatomical facemask and laryngeal mask airway after induction of anaesthesia due to the finger ofthe  surgeon inside oral cavity to control bleeding.Rendell-Baker mask was used and  a seal was made around the nose of the patient with lips of patient approximated and pateint could be easily ventilated.

DOI: http://dx.doi.org/10.4038/slja.v22i2.6346

DOI: http://doi.org/10.4038/slja.v22i2.6346
How to Cite: Singh, T. et al., (2014). Bleeding mandibular AVM: Airway management. Sri Lankan Journal of Anaesthesiology. 22(2), pp.75–76. DOI: http://doi.org/10.4038/slja.v22i2.6346
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Published on 19 Jun 2014.

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