Blind nasal intubation as an alternative to difficult intubation approaches
Yoo Hwan-Hee, 최재문, 조준영, 이수경, 정성문,
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( Yoo Hwan-Hee ) - University of Ulsan College of Medicine Department of Anesthesiology and Pain Medicine
최재문 ( Choi Jae-Moon ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
조준영 ( Jo Jun-Young ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
이수경 ( Lee Su-Kyung ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
정성문 ( Jeong Sung-Moon ) - University of Ulsan College of Medicine Asan Medical Center Department of Anesthesiology and Pain Medicine
KMID : 0980320150150030180
Abstract
Airway difficulties are a major concern for anesthesiologists. Even though fiberoptic intubation is the generally accepted method for management of difficult airways, it is not without disadvantages-requires patient cooperation, and cannot be performed on soiled airway or upper airways with pre-existing narrowing pathology. Additionally, fiberoptic bronchoscopy is not available at every medical institution. In this case, we encountered difficult airway management in a 71-year-old man with a high Mallampati grade and a thick neck who had undergone urologic surgery. Several attempts, including a bronchoscope-guided intubation, were unsuccessful. Finally, blind nasal intubation was successful while the patient's neck was flexed and the tracheal cartilage was gently pressed down. We suggest that blind nasal intubation is a helpful alternative in difficult airway management and it can be a lifesaving technique in emergencies. Additionally, its simplicity makes it a less expensive option when advanced airway technology (fiberoptic bronchoscopy) is unavailable.
키워드
Airway management; Blind nasal intubation
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