Lang S, Johnson D H, Lanigan D T, Ha H
Department of Anaesthesia, University of Saskatchewan Hospital, Saskatoon, Canada.
Can J Anaesth. 1989 May;36(3 Pt 1):340-2. doi: 10.1007/BF03010778.
We describe a case of nasotracheal tube fixation with a screw. A second case is described in which a broken drill bit was found to impinge on the wall but not penetrate into the lumen of a nasotracheal tube. Possible sequelae of this complication include airway leak, aspiration, tube obstruction, and trauma from attempts at forceful extubation. We recommend the routine intraoperative testing for tracheal tube movement and routine fibreoptic bronchoscopy through the tube when blind surgical procedures occur in the vicinity of a tracheal tube.
我们描述了一例使用螺钉固定鼻气管导管的病例。还描述了另一例病例，其中发现一个断裂的钻头撞击在鼻气管导管壁上，但未穿透导管内腔。这种并发症可能的后遗症包括气道漏气、误吸、导管阻塞以及强行拔管所致的创伤。我们建议，当在气管导管附近进行盲目外科手术时，常规进行气管导管活动的术中测试，并通过导管进行常规纤维支气管镜检查。
