대한치과마취과학회지 (Journal of The Korean Dental Society of Anesthesiology)

  • 제13권2호
  • /
  • Pages.51-54
  • /
  • 2013
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  • 1598-4044(pISSN)
  • /
  • 2383-7039(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
권호 표지

경비삽관 시도 중 발생한 심각한 비출혈

Massive Epistaxis during Nasotracheal Intubation

  • 전대근 (단국대학교 의과대학 마취통증의학 교실) ;
  • 송재격 (단국대학교 의과대학 마취통증의학 교실) ;
  • 김석곤 (단국대학교 의과대학 마취통증의학 교실) ;
  • 지승헌 (단국대학교 의과대학 마취통증의학 교실)
  • Jeon, Dae-Geun (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Song, Jaegyok (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Kim, Seok-Kon (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University) ;
  • Ji, Seung-Heon (Department of Anesthesiology and Pain Medicine, College of Medicine, Dankook University)
  • 투고 : 2013.04.24
  • 심사 : 2013.06.28
  • 발행 : 2013.06.30
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초록

A 30-year-old man with morbid obesity (height: 176 cm, body weight: 100 kg, body mass index: 32.28) was scheduled for reconstruction of the mandibular fracture. During induction of general anesthesia and nasotracheal intubation, we experienced massive epistaxis, hypoxemia and difficult airway management. Fortunately, we performed oro-tracheal intubation with direct laryngoscopy and it barely succeeded. He recovered without any residual complications and rescheduled seven days later and we successfully performed awake fiberoptic nasotracheal intubation. The patient discharged on the fourth postoperative day.

키워드

참고문헌

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