During extubation the patient should be monitored closely and the care providers should be prepared for buy Ro 61-8048 the possibility of re-intubation. In a case of tracheotomy tube, the patient may be awakened and allowed to breathe spontaneously through the tracheostomy tube for a few days, providing a safer recovery. Conclusion Airway management of the maxillofacial trauma patient is

complex and requires both sound judgement and considerable experience, which are gained in similar emergency situations. Skilful and experienced personnel are mandatory, as is collaboration by the anesthesiologist, maxillofacial surgeon, ENT specialist or general surgeon, in order to have an outcome with minimal risks and maximal success. It is important to remember that timely, decisive and skillful management of the airway can often make the difference between life and death or between ability and disability in such situations. Consent Written informed consent

was obtained from the patient for publication of the publication of their case reports and accompanying images. A copy of the written consent is available for review by the Editor-in-Chief PSI-7977 in vivo of this journal. References 1. American College of Surgeons Committee on Trauma: Advanced Trauma Life Support for Doctors ATLS. 7th edition. Chicago, IL; American College of Surgeons; 2004. 2. Walls RM: Management of the difficult airway in the trauma patient. Emerg Med Clin North Am 1998, 16:45–61.CrossRefPubMed 3. Domino KB, Posner KL, Caplan RA, Cheney FW: Airway injury during anesthesia: a closed claims analysis. Anesthesiology 1999, 91:1703–1711.CrossRefPubMed 4. Peterson GN, Domino KB, Caplan RA, Posner KL, Lee LA, Cheney FW: Management of the difficult airway: a closed claims analysis. Anesthesiology 2005, 103:33–39.CrossRefPubMed 5. Garcia A: Critical care issues in the early management of severe trauma. Surg Clin North Am 2006, 86:1359–1387.CrossRefPubMed 6. Gruen RL, Jurkovich GJ, McIntyre LK, Foy HM, Maier RV: Patterns

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