J Korean Dent Soc Anesthesiol.  2012 Jun;12(2):121-123. 10.17245/jkdsa.2012.12.2.121.

Blind Intubation Using Fiberoptic Bronchoscope in Epistaxis

Affiliations
  • 1Department of Oral and Maxillofacial Surgery, Busan National University, Pusan, Korea.
  • 2Department of Dental Anesthesia and Pain Medicine, Busan National University, Pusan, Korea. anekch@pusan.ac.kr

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.

Keyword

Epistaxis; Fiberoptic bronchoscope; Fiberoptic intubation; Lightwand intubation; Nasotracheal intubation

MeSH Terms

Anesthesia, General
Bronchoscopes*
Epistaxis*
Humans
Intubation*
Methods
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