J Dent Anesth Pain Med.  2017 Sep;17(3):219-223. 10.17245/jdapm.2017.17.3.219.

Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea. drjack@nate.com
  • 2Department of Oral and Maxillofacial Surgery, Dankook University College of Dentistry, Cheonan, Korea.

Abstract

In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsening of the airway condition. Fiberoptic bronchoscopy was considered a novel method of airway conversion but this method is not useful when there are secretions and bleeding in the airway, or if the anesthesiologist is inexperienced in using this device. We report a successful airway conversion under the aid of both, a fiberoptic bronchoscope and a C-MAC video laryngoscope.

Keyword

Airway Management; Bronchoscopy; Intratracheal Intubation

MeSH Terms

Airway Management
Bronchoscopes*
Bronchoscopy
Hemorrhage
Humans
Intubation, Intratracheal
Laryngoscopes*
Methods

Figure

  • Fig. 1 Panoramic view and 3D computed tomography model of the first case.

  • Fig. 2 Panoramic view and computed tomography of the second case. Note the swelling of the soft tissue at the fracture site.

  • Fig. 3 Curved Magil forcep for a video laryngoscope.


Cited by  1 articles

Orotracheal intubation in a patient with difficult airway by using fiberoptic nasotracheal intubation: A case report
Hye Joo Yun, Eunsun So, Myong-Hwan Karm, Hyun Jeong Kim, Kwang-Suk Seo
J Dent Anesth Pain Med. 2018;18(2):125-128.    doi: 10.17245/jdapm.2018.18.2.125.


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