비출혈 환자에서 굴곡성 기관지를 이용한 맹목적 기관내 삽관
Blind Intubation Using Fiberoptic Bronchoscope in Epistaxis
이승현, 윤지영, 김철홍,
소속 상세정보
이승현 ( Lee Seung-Hyun ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
윤지영 ( Yoon Ji-Young ) - 부산대학교 치의학전문대학원 치과마취통증학교실
김철홍 ( Kim Cheul-Hong ) - 부산대학교 치의학전문대학원 치과마취통증학교실
KMID : 0980220120120020121
Abstract
Nasotracheal intubation is an essential procedure during general anesthesia for dental treatment. Fiberoptic intubation is best accomplished by those who perform it as part of their daily practice. But nasal approach of fiberoptic intubation has some complications such as epistaxis and laryngeal injury. Especially, epistaxis is common and it make fiberoptic intubation because of limited view. When the epistaxis obstruct the field of vision we have to withdraw the fiberoptic bronchoscope and consider the other method for securing the airway. We succeeded in securing the airway of patient who had epistaxis during the fiberoptic nasotracheal intubation without withdrawing the fiberoptic bronchoscope. We used blind intubation guided by light source placed the tip of fiberoptic bronchscope applied to lightwand intubation.
키워드
Epistaxis; Fiberoptic bronchoscope; Fiberoptic intubation; Lightwand intubation; Nasotracheal intubation
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