Yoon Kyung-Bong, Choi Byung-Ho, Chang Hye-Sook, Lim Hyun-Kyo
Department of Anesthesiology and Pain Medicine, Yonsei University Wonju College of Medicine, 162 Ilsan-dong, Wonju, Kwangwon-do 220-701, Korea.
Yonsei Med J. 2004 Aug 31;45(4):748-50. doi: 10.3349/ymj.2004.45.4.748.
Submental endotracheal intubation for surgery was used as an alternative to nasotracheal intubation in patients with craniomaxillofacial injury. Generally extubation was performed in the operation room by pulling the tube through the submental incision site. When extubation is not indicated, intraoral indwelling is preferred to submental intubation. We report a case of a 35-year-old male patient with multiple facial bone fractures. At the end of the surgery, we noticed the oropharyngeal edema, and so the submental intubation was converted into a standard orotracheal intubation. During that procedure, the pilot balloon was accidentally detached from the endotracheal tube. The situation was managed by cutting a pilot tube from a new, unused endotracheal tube and connecting it to the intubated tube using a needle connector.
对于颅颌面损伤患者，采用颏下气管插管进行手术作为经鼻气管插管的替代方法。一般在手术室通过颏下切口部位拔出气管导管进行拔管。当不需要拔管时，口内留置优于颏下插管。我们报告一例35岁男性多发面部骨折患者。手术结束时，我们发现口咽水肿，因此将颏下插管转换为标准经口气管插管。在此过程中，指示球囊意外从气管导管上脱落。通过从一根新的、未使用的气管导管上剪下一根指示管并用针头连接器将其连接到已插管的导管上处理了该情况。
