Conversion of an oral to nasal intubation in difficult nasal anatomy patients: two case reportsopen access
- Authors
- Kim, Dong Won; Kim, Kyu Nam; Sun, Jung Eun; Lim, Hyun Jin
- Issue Date
- Mar-2021
- Publisher
- BMC
- Keywords
- Airway management; Intratracheal intubation; Nasotracheal intubation
- Citation
- BMC ANESTHESIOLOGY, v.21, no.1, pp.1 - 4
- Indexed
- SCIE
SCOPUS
- Journal Title
- BMC ANESTHESIOLOGY
- Volume
- 21
- Number
- 1
- Start Page
- 1
- End Page
- 4
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/142216
- DOI
- 10.1186/s12871-021-01298-6
- ISSN
- 1471-2253
- Abstract
- BackgroundNasal intubation is indispensable for some cases that require intraoral surgical access, and the fiberoptic bronchoscope is the best tool for difficult airways. However, fiberoptic bronchoscopy is not always possible in cases with altered pharyngeal anatomy.Case presentationIn this report, we introduce a novel technique for retrograde endotracheal oral-to-nasal conversion with an ordinary endotracheal tube exchange catheter. A 49-year-old male with a fractured mandible angle and symphysis was scheduled to undergo mandible reconstruction. Secondly, a 45-year-old male who had a bone defect in the mandible angle and ramus was scheduled for mandible and oral cavity reconstruction. We chose to intubate orally first and successfully converted the endotracheal tube from oral to nasal retrogressively using a tube exchange catheter.ConclusionsOur simple and safe technique, which use a tube exchange catheter retrogressively, provides an alternative method for a difficult airway in which the fiberscope is not helpful.
- Files in This Item
-
- Appears in
Collections - 서울 의과대학 > 서울 마취통증의학교실 > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/142216)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.