Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지

Blind Intubation Using Fiberoptic Bronchoscope in Epistaxis

비출혈 환자에서 굴곡성 기관지를 이용한 맹목적 기관내 삽관

  • Lee, Seung-Hyun (Department of Oral and Maxillofacial Surgery, Busan National University) ;
  • Yoon, Ji-Young (Department of Dental Anesthesia and Pain Medicine Busan National University) ;
  • Kim, Cheul-Hong (Department of Dental Anesthesia and Pain Medicine Busan National University)
  • 이승현 (부산대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 윤지영 (부산대학교 치의학전문대학원 치과마취통증학교실) ;
  • 김철홍 (부산대학교 치의학전문대학원 치과마취통증학교실)
  • Received : 2012.06.28
  • Accepted : 2012.07.02
  • Published : 2012.06.30
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Abstract

Nasotracheal intubation is an essential procedure during general anesthesia for dental treatment. Fiberoptic intubation is best accomplished by those who perform it as part of their daily practice. But nasal approach of fiberoptic intubation has some complications such as epistaxis and laryngeal injury. Especially, epistaxis is common and it make fiberoptic intubation because of limited view. When the epistaxis obstruct the field of vision we have to withdraw the fiberoptic bronchoscope and consider the other method for securing the airway. We succeeded in securing the airway of patient who had epistaxis during the fiberoptic nasotracheal intubation without withdrawing the fiberoptic bronchoscope. We used blind intubation guided by light source placed the tip of fiberoptic bronchscope applied to lightwand intubation.

Keywords

References

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