Moharana Gayatri, Mohanty Rajat, Lahiri Banibrata, Das Asutosh, Annaluru Sasank
Department of Oral and Maxillofacial Surgery, Kalinga Institute of Dental Sciences, Bhubaneswar, Odisha 751024 India.
J Maxillofac Oral Surg. 2024 Oct;23(5):1122-1126. doi: 10.1007/s12663-024-02321-2. Epub 2024 Aug 31.
Submental intubation allows for the passage of an endotracheal tube through the anterior floor of the oral cavity. This allows for adequate surgical access to the regions of the mouth and the nasal pyramid with minimal to no hindrance in airflow to the lungs.
To explore the perception of an anaesthetist regarding the submental intubation.
A questionnaire‑based prospective randomized analysis was formatted and carried out in Odisha, India, between 20 Jan 2023 and 20 may 2023. A self-structured questionnaire consisting of 16 questions was distributed to the anaesthetists of the medical colleges in Odisha.
Out of 97, 42 (43%) male and 45 (46%) female were familiar with the submental infiltration technique. Among the participants, 56% females and 43% males have performed and assisted in a submental intubation procedure. None of them encountered any complications or adverse events related to submental intubation ( = 0.0001).
Out of all, 20% females and 19% males were very confident in performing submental intubation.
Submental intubation is a simple, safe, quick, and relatively harmless alternative to tracheostomy for securing the airway in selected patients with craniofacial trauma. Familiarity with the submental intubation technique will help the anaesthetists to avoid tracheostomy in selected patients with craniofacial trauma who do not require long-term mechanical ventilation. But, this procedure is technique sensitive as well.
颏下插管可使气管导管经口腔前底部通过。这样能在对口腔区域和鼻锥体进行充分手术操作时，对肺部气流的阻碍降至最小甚至没有阻碍。
探讨麻醉医生对颏下插管的认知。
2023年1月20日至2023年5月20日期间，在印度奥里萨邦进行了一项基于问卷的前瞻性随机分析。向奥里萨邦医学院的麻醉医生发放了一份由16个问题组成的自拟问卷。
在97名参与者中，42名（43%）男性和45名（46%）女性熟悉颏下浸润技术。在参与者中，56%的女性和43%的男性进行过并协助过颏下插管操作。他们中没有人遇到与颏下插管相关的任何并发症或不良事件（P = 0.0001）。
总体而言，20%的女性和19%的男性对进行颏下插管非常有信心。
对于选定的颅面创伤患者，颏下插管是一种简单、安全、快速且相对无害的气管切开替代方法，用于确保气道安全。熟悉颏下插管技术将有助于麻醉医生避免对不需要长期机械通气的选定颅面创伤患者进行气管切开。但是，该操作对技术也很敏感。
