Question
A patient aged 55 years met with a road traffic accident sustained injury to chest suspected of multiple rib fractures, choice of anesthesia in this patient would be
| A. |
Infraclavicular block
|
| B. |
Spinal anesthesia
|
| C. |
General anesthesia with endotracheal intubation
|
| D. |
Epidural anesthesia
|
Show Answer
|
Correct Answer » C
Explanation
|
|
Patients undergoing surgery for major chest trauma require:
- A secured airway.
- Controlled ventilation.
- Adequate oxygenation.
- Lung isolation if required during thoracic surgery.
Therefore, general anesthesia with endotracheal intubation is the anesthetic technique of choice.
Why Other Options Are Incorrect
A. Infraclavicular block
- Provides anesthesia only for the upper limb.
- Does not anesthetize the chest wall.
B. Spinal anesthesia
- Not suitable for thoracic surgery.
- May worsen hypotension and respiratory compromise.
D. Thoracic epidural anesthesia
- Excellent for postoperative analgesia and pain control in rib fractures.
- It is not sufficient as the sole anesthetic technique for thoracic surgery.
