Department of MeSVA, University of L'Aquila, L'Aquila, Italy.
San Salvatore Teaching Hospital of L'Aquila, L'Aquila, Italy.
Adv Ther. 2019 Jul;36(7):1812-1816. doi: 10.1007/s12325-019-00968-9. Epub 2019 May 7.
Difficult airway management and intraoperative tube damage are important problems during maxillofacial surgery. Damage occurs frequently during the surgery, and the anesthesiologist must be ready to find a quick and safe solution. Replacing the damaged endotracheal tube involves additional difficulties, and various factors must be evaluated. We present two cases of nasotracheal tube (NTT) damage suffered during maxillofacial surgery. The different intraoperative conditions led us to decide for the replacement of NTT in one case and for conservative action in the other. The purpose of this article is to highlight the difficulties that the anesthesiologist may have in deciding quickly what is the best approach in case the endotracheal tube is damaged during maxillofacial surgery and possibly try to provide a rapid and safe solution for the situation.
颌面外科手术中，困难气道管理和术中导管损伤是两个重要问题。手术过程中经常会发生导管损伤，麻醉师必须随时准备寻找快速且安全的解决方案。更换受损的气管内导管涉及到更多的困难，必须评估各种因素。我们报告了 2 例颌面外科手术中发生的经鼻气管内导管（NTT）损伤。不同的术中情况导致我们决定在 1 例病例中更换 NTT，而在另 1 例中采取保守措施。本文的目的是强调在颌面外科手术中气管内导管受损的情况下，麻醉师在快速决策方面可能遇到的困难，并尝试为这种情况提供快速且安全的解决方案。
