경비기관내튜브의 발관 지연에 따른 환자의 불편감 정도 분석 -A Pilot Study
The Analysis on Degree of Discomfort Caused by Delayed Extubation of Nasotracheal Tube - A Pilot Study
심정환, 김현정, 염광원, 서광석, 이영은, 박윤기,
소속 상세정보
심정환 ( Shim Jung-Hwan ) - 서울대학교 치의학대학원 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치의학대학원 치과마취과학교실
염광원 ( Yum Kwang-Won ) - 서울대학교 치의학대학원 치과마취과학교실
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 치과마취과
이영은 ( Yi Young-Eun ) - 서울대학교 치의학대학원 치과마취과학교실
박윤기 ( Park Yun-Ki ) - 서울대학교 치의학대학원 치과마취과학교실
KMID : 0980220070070010001
Abstract
Background: It is well known that nasotracheal intubation is comfort for patient compared to oral intubation. We sometimes delay extubation when it is thought that the patient can not maintain airway, or there may be other emergency associated with airway. And we sometimes experience complaint of discomfort of nasotracheal tube. But, we could not find any report on degree of discomfort of delayed nasotracheal intubation.
Methods: Eighteen patients in whom extubation of nasotraceal tube was delayed after operation because of difficulties of airway mamagement were selected. We surveyed the discomfort of nasotracheal tube with 0 to 10 visual analogue scale (VAS) and compared with the pain of operation site (VAS).
Result: The VAS of nasotracheal intubation was 6.7{±}3.4, and VAS of the primary operation site was 3.5{±}2.4, and VAS of flap harvest site was 5.5{±}2.7. 10 of the patients complained of nasotracheal suction extremely and 6 patients complained of respiratory difficulties.
Conclusions: Nasotracheal intubation was discomfort and there must be intervention.
키워드
Nasotracheal Intubation;Discomfort;Delayed extubation
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