Orotracheal intubation in a patient with difficult airway by using fiberoptic nasotracheal intubation: A case report
윤혜주, 소은선, 감명환, 김현정, 서광석,
소속 상세정보
윤혜주 ( Yun Hye-Joo ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
소은선 ( So Eun-Sun ) - Seoul National University Dental Hospital Department of Dental Anesthesiology
감명환 ( Karm Myong-Hwan ) - 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
Abstract
In cases of a difficult intubation where numerous intubation methods, including laryngoscopy, have failed, yet oral intubation is still necessary, the method of tube exchange after fiberoptic nasal intubation may be attempted. Fiberoptic nasal intubation allows intubation to be performed relatively easily when the laryngeal view grade is poor. We report a case in which our attempt at oral intubation for total maxillectomy with laryngoscopy and fiberoptic oral intubation had failed due to an unexpected difficult airway; subsequently, we successfully completed the surgery by performing fiberoptic nasal intubation to secure the airway, followed by using a tube exchanger to exchange to an oral endotracheal tube.
키워드
Difficult Intubation; Endotracheal Tube Exchanger; Fiberoptic Nasal Intubation
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