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Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports

  • Ji, Sungmi (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine) ;
  • Song, Jaegyok (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine) ;
  • Kim, Seok Kon (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine) ;
  • Kim, Moon-Young (Department of Oral and Maxillofacial Surgery, Dankook University College of Dentistry) ;
  • Kim, Sangyun (Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine)
  • Received : 2017.07.25
  • Accepted : 2017.08.05
  • Published : 2017.09.30

Abstract

In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsening of the airway condition. Fiberoptic bronchoscopy was considered a novel method of airway conversion but this method is not useful when there are secretions and bleeding in the airway, or if the anesthesiologist is inexperienced in using this device. We report a successful airway conversion under the aid of both, a fiberoptic bronchoscope and a C-MAC video laryngoscope.

Keywords

References

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Cited by

  1. Orotracheal intubation in a patient with difficult airway by using fiberoptic nasotracheal intubation: A case report vol.18, pp.2, 2017, https://doi.org/10.17245/jdapm.2018.18.2.125