Korean J Anesthesiol.  2008 Nov;55(5):618-620. 10.4097/kjae.2008.55.5.618.

Effective removal of epistaxis during nasotracheal intubation utilizing a fiberoptic scope in a difficult airway: A case report

• Kim MH
• Son JS
• Lim HS
• Kim DK
• Kim DC

• KMID: 2243005
• DOI: http://doi.org/10.4097/kjae.2008.55.5.618

Abstract

Nasal bleeding related to nasal trauma is the most common complication of nasotracheal intubation with a fiberoptic scope. When nasotracheal intubation with a fiberoptic scope is performed, profuse bleeding from the nasal cavity makes it difficult to handle a fiberoptic scope and may cause a hypoxemia. So when nasal bleeding occurs, it is important to suction the nasal cavity for easy handling of a fiberoptic scope. But, it may be difficult to suction in a nasal cavity with a fiberoptic suction port only. We report a patient with nasal bleeding following nasotracheal intubation with a fiberoptic scope because of articular trismus, and successful nasotracheal intubation utilizing a fiberoptic scope by suctioning with an extra suction apparatus.

Keyword

difficult intubation; fiberoptic nasotracheal intubation; nasal bleeding

MeSH Terms

Anoxia
Epistaxis
Handling (Psychology)
Hemorrhage
Humans
Intubation
Nasal Cavity
Suction
Trismus