Abstract
The anesthetic management of facial trauma can be challenging, with airway management as a particular concern. Difficulties can exist with (1) spontaneous ventilation, due to depressed consciousness and concomitant brain injury; (2) mask ventilation, due to the potential for altered facial soft tissue and bony structures; and (3) intubation, due to the extent of trauma present. Innovative intubation techniques must sometimes be utilized. Patients with previous facial trauma present airway complications, sometimes in the form of significant scarring and limited mouth opening. In patients with ocular trauma, open globe injuries are of special concern. Intraocular and extraocular pressures must be limited by avoiding anesthetic agents that cause myoclonus and eliminating compression of the globe.
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