Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports
지성미, 송재격, 김석곤, 김문영, 김상연,
소속 상세정보
지성미 ( Ji Sung-Mi ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
송재격 ( Song Jae-Gyok ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
김석곤 ( Kim Seok-Kon ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
김문영 ( Kim Moon-Young ) - Dankook University College of Dentistry Department of Oral and Maxillofacial Surgery
김상연 ( Kim Sang-Yun ) - Dankook University College of Medicine Department of Anesthesiology and Pain Medicine
Abstract
In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsening of the airway condition. Fiberoptic bronchoscopy was considered a novel method of airway conversion but this method is not useful when there are secretions and bleeding in the airway, or if the anesthesiologist is inexperienced in using this device. We report a successful airway conversion under the aid of both, a fiberoptic bronchoscope and a C-MAC video laryngoscope.
키워드
Management; Bronchoscopy; Intratracheal Intubation
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