Anesth Prog. 2024 Sep 9;71(3):136-139. doi: 10.2344/973799.
In complex maxillofacial fractures in which orotracheal and nasotracheal intubation are otherwise contraindicated, alternatives for airway management include tracheostomy and submental intubation (SMI). In this case, SMI was used successfully, although it did result in accidental endobronchial intubation intraoperatively that was quickly recognized and managed appropriately. SMI can be a useful method for securing a patient's airway, but like all surgical approaches, it does carry the potential for complications. We report a case involving the use of SMI during which an unintended endobronchial intubation occurred.
在复杂的颌面骨折中，经口和经鼻插管均被禁忌时，气道管理的替代方法包括气管切开术和颏下插管（SMI）。在这种情况下，SMI 成功地被使用了，尽管它确实导致了术中意外的支气管内插管，这很快被识别并得到了适当的处理。SMI 可以是一种安全患者气道的有用方法，但与所有手术方法一样，它确实存在潜在的并发症。我们报告了一例在 SMI 期间发生意外支气管内插管的病例。
