Anesthetic management of a pregnant patient with significant post-burn scars and contractures

Post burn contracture and scarring in obstetric patient is not a very common occurrence. We present this 38-year-old pregnant patient who had extensive post burn scarring involving more than 90% of the body surface area with restricted mouth opening and severe neck contractures. We discuss the various problems encountered in the management of her urgent Cesarean delivery for severe preeclampsia and non-reassuring fetal status. This includes the issues with airway management, monitoring devices and intravenous access.