Combitube insertion in the situation of acute airway obstruction after extubation in patients underwent two-jaw surgery
최윤지, 박수경, 지성인, 김현정, 서광석,
소속 상세정보
최윤지 ( Choi Yoon-Ji ) - Seoul National University Bundang Hospital Department of Anesthesiology and Pain Medicine
박수경 ( Park Soo-Kyung ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
지성인 ( Chi Seong-In ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
김현정 ( Kim Hyun-Jeong ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
서광석 ( Seo Kwang-Suk ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
KMID : 0980320150150040235
Abstract
The Combitube is an emergency airway-maintaining device, which can supply oxygen to dyspneic patients in emergency situations following two-jaw surgery. These patients experience difficulty in opening the mouth or have a partially obstructed airway caused by edema or hematoma in the oral cavity. As such, they cannot maintain the normal airway. The use of a Combitube may be favorable compared to the laryngeal mask airway because it is a thin and relatively resilient tube. A healthy 24-year-old man was dyspneic after extubation. Oxygen saturation fell below 90% despite untying the bimaxillary fixation and ambubagging. The opening of the mouth was narrow; thus, emergency airway maintenance was gained by insertion of a Combitube. The following day, a facial computer tomography revealed that the airway space narrowing was severe compared to its pre-operational state. After the swelling subsided, the patient was successfully extubated without complications.
키워드
Airway obstruction; Combitube; Extubation; Post-anesthesia complication; Two-jaw surgery
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