From the Department of Anesthesiology, Emory University School of Medicine, Atlanta, Georgia.
A A Pract. 2021 May 5;15(5):e01462. doi: 10.1213/XAA.0000000000001462.
Awake nasotracheal fiberoptic intubations are used to manage difficult airways. Nasopharyngeal airways can be placed into the nostril to facilitate fiberoptic intubation and has been shown to be a useful pathfinder. We describe a case where this nasopharyngeal airway was inadvertently advanced with the bronchoscope and led to partial tracheal obstruction. To our knowledge, this represents the first reported case of this mishap. Aspiration of the nasopharyngeal airway can lead to complete airway obstruction and devastating consequences. Simple techniques such as attaching a hemostat or using an assistant to hold on to the nasopharyngeal airway may prevent this occurrence.
清醒经鼻纤维支气管插管用于处理困难气道。鼻咽通气道可放入鼻腔以方便纤维支气管插管，并已被证明是一种有用的探路者。我们描述了一个案例，其中鼻咽通气道在支气管镜检查时无意中被推进，并导致部分气管阻塞。据我们所知，这代表了首例此类事故的报告。鼻咽通气道的吸入可导致完全气道阻塞和灾难性后果。简单的技术，如附加止血钳或使用助手抓住鼻咽通气道，可能会防止这种情况发生。
