Nasotracheal Intubation under Videolaryngoscopy in Mandibular Abscess with Trismus

Albertus Medianto Walujo, I. G. A. S. Putra, I. W. Widana, Ida Ayu Ratih Wulansari Manuaba
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引用次数: 0

Abstract

Management of a difficult airway is a challenge for every anesthesiologist. Mandibular stiffness, trismus, and facial structural deformities often limit the available airway management options. With a variety of techniques that have been developed today, the management of difficult airways is more optimal than conventional management. One technique that can be used is video laryngoscopy. The authors report a case of nasotracheal intubation by video laryngoscopy in a mandibular abscess patient with trismus. The purpose of this case report is to demonstrate the effectiveness of the video laryngoscopy technique to assist nasotracheal intubation and to add insight for nasotracheal intubation technique in difficult airway conditions, especially trismus. Female, 60-year-old, come with a left mandibular abscess with complicated trismus who was planned for incision and drainage of the abscess. Nasotracheal intubation was performed under video laryngoscopy and during the surgical procedure the patient's vital signs were stable. This case report concludes that video laryngoscopy can be an alternative to conventional techniques and awake fiberoptic intubation in the case of nasotracheal intubation.
视频喉镜下鼻气管插管治疗下颌脓肿合并牙关
困难气道的管理是每个麻醉师的挑战。下颌僵硬、牙关和面部结构畸形往往限制了可用的气道管理选择。随着各种技术已经发展到今天,困难气道的管理比传统的管理更理想。一种可以使用的技术是视频喉镜检查。作者报告了一个病例鼻气管插管视频喉镜在下颌骨脓肿患者咬合。本病例报告的目的是证明视频喉镜技术辅助鼻气管插管的有效性,并为困难气道条件下的鼻气管插管技术,特别是唇腭裂提供见解。女,60岁,左侧下颌骨脓肿合并复杂牙关,计划行脓肿切开引流术。在视频喉镜下进行鼻气管插管,手术过程中患者生命体征稳定。本病例报告的结论是,视频喉镜可以替代传统技术和清醒纤维插管在鼻气管插管的情况下。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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