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A simple method of intraoperative intubation tube change

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초록

Nasotracheal intubation should be performed in patients with jaw fractures because maxillomandibular fixation is required. However, when there are concomitant fractures of the nose and facial bones, an intubation tube positioned at the nose makes it difficult to perform an intricate surgery. In order to overcome these problems, a variety of ways to change the position of the tube have been introduced. We describe a simple technique of switching the tube from a nasal to oral position, which was easily executed in a patient with concomitant nasal and mandibular fractures, accompanied by a literature review.

Abstract

Nasotracheal intubation should be performed in patients with jaw fractures because maxillomandibular fixation is required. However, when there are concomitant fractures of the nose and facial bones, an intubation tube positioned at the nose makes it difficult to perform an intricate surgery. In order to overcome these problems, a variety of ways to change the position of the tube have been introduced. We describe a simple technique of switching the tube from a nasal to oral position, which was easily executed in a patient with concomitant nasal and mandibular fractures, accompanied by a literature review.

참고문헌 (9)

  1. Werther JR, "Nasal tube switch: converting from a nasal to an oral endotracheal tube without extubation", J Oral Maxillofac Surg, 52, pp.994~996 (1994)
  2. Hernández Altemir F, "The submental route for endotracheal intubation. A new technique", J Maxillofac Surg, 14, pp.64~65 (1986)
  3. Martinez-Lage JL, "Retromolar intubation", J Oral Maxillofac Surg, 56, pp.302~305 (1998)
  4. Lima SM Jr, "A retrospective analysis of submental intubation in maxillofacial trauma patients", J Oral Maxillofac Surg, 69, pp.2001~2005 (2011)
  5. Goldenberg D, "Tracheotomy complications: a retrospective study of 1130 cases", Otolaryngol Head Neck Surg, 123, pp.495~500 (2000)
  6. Lee SS, "A review of intraoperative airway management for midface facial bone fracture patients", Ann Plast Surg, 63, pp.162~166 (2009)
  7. Bonfils P, "Difficult intubation in Pierre-Robin children, a new method: the retromolar route", Anaesthesist, 32, pp.363~367 (1983)
  8. Arora S, "An evaluation of the retromolar space for oral tracheal tube placement for maxillofacial surgery in children", Anesth Analg, 103, pp.1122~1125 (2006)
  9. Kirby RR, "Clinical anesthesia practice", pp.303~328 (2002), W. B. Saunders

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