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Massive Epistaxis during Nasotracheal Intubation  

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)
Publication Information
Journal of The Korean Dental Society of Anesthesiology / v.13, no.2, 2013 , pp. 51-54 More about this Journal
Abstract
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.
Keywords
Epistaxis; Hypoxemia; Nasotracheal intubation;
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