Thirion Charlotte, Abene Salim, Van Regemorter Victoria, Van Boven Michel, Biermans Alexandre, Pharaoh Emma, Mestdagh François
From the Departments of Anesthesiology.
Otorhinolaryngology, Cliniques Universitaires Saint Luc, Brussels, Belgium.
A A Pract. 2025 Jan 3;19(1):e01884. doi: 10.1213/XAA.0000000000001884. eCollection 2025 Jan 1.
Nasotracheal intubation is a commonly used technique in elective oral and pharyngeal surgeries. This case report details an incident involving a young adult patient in which an attempt at nasotracheal intubation resulted in a life-threatening cervicofacial and thoracic emphysema. Although complications associated with nasotracheal intubation are rare, their potential severity necessitates a comprehensive preprocedural discussion and risk assessment with the surgical team to confirm its appropriate indication for each individual patient. This case underscores the need for increased awareness and readiness for managing rare but critical complications associated with airway management techniques.
经鼻气管插管是择期口腔和咽喉手术中常用的技术。本病例报告详细描述了一名年轻成年患者的事件，其中经鼻气管插管尝试导致了危及生命的颈面部和胸部气肿。尽管经鼻气管插管相关的并发症很少见，但其潜在的严重性需要与手术团队进行全面的术前讨论和风险评估，以确定其对每个患者的合适适应症。本病例强调了提高对气道管理技术相关罕见但严重并发症的认识并做好应对准备的必要性。
