경비삽관 시도 중 발생한 심각한 비출혈
Massive Epistaxis during Nasotracheal Intubation
전대근, 송재격, 김석곤, 지승헌,
소속 상세정보
전대근 ( Jeon Dae-Geun ) - 단국대학교 의과대학 마취통증의학교실
송재격 ( Song Jae-Gyok ) - 단국대학교 의과대학 마취통증의학교실
김석곤 ( Kim Seok-Kon ) - 단국대학교 의과대학 마취통증의학교실
지승헌 ( Ji Seung-Heon ) - 단국대학교 의과대학 마취통증의학교실
KMID : 0980220130130020051
Abstract
A 30-year-old man with morbid obesity (height: 176 cm, body weight: 100 kg, body mass index: 32.28) was scheduled for reconstruction of the mandibular fracture. During induction of general anesthesia and nasotracheal intubation, we experienced massive epistaxis, hypoxemia and difficult airway management. Fortunately, we performed oro-tracheal intubation with direct laryngoscopy and it barely succeeded. He recovered without any residual complications and rescheduled seven days later and we successfully performed awake fiberoptic nasotracheal intubation. The patient discharged on the fourth postoperative day.
키워드
Epistaxis; Hypoxemia; Nasotracheal intubation
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