Savitha Keelara Shivalingaiah, Kujur Abha Rani, Vikram M S, Joseph Shirley
Department of Anaesthesia, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Department of Plastic Surgery, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Anesth Essays Res. 2016 Jan-Apr;10(1):132-5. doi: 10.4103/0259-1162.165518.
In patients with concomitant occurrence of maxillofacial and basilar skull fractures, open reduction and internal fixation is the treatment. It requires intermittent intra operative dental occlusion which precludes oral or nasal intubation. In such cases submental intubation (SMI) is a recognized technique in practice. We describe a modified technique for smooth exteriorization of the endotracheal tube (ETT) during SMI. As the SMI technique is unusual for the performer, emphasis is laid on the applied aspects to minimize probable complications during the procedure. With the modified technique we performed SMI uneventfully on five patients.
对于合并颌面和颅底骨折的患者，治疗方法是切开复位内固定。这需要术中间歇性咬合牙齿，这使得经口或经鼻插管无法进行。在这种情况下，颏下插管（SMI）是一种在实际操作中公认的技术。我们描述了一种在颏下插管期间使气管内导管（ETT）顺利引出的改良技术。由于颏下插管技术对操作者来说不常见，所以重点放在应用方面，以尽量减少手术过程中可能出现的并发症。采用改良技术，我们成功地为5例患者进行了颏下插管。
