Effective removal of epistaxis during nasotracheal intubation utilizing a fiberoptic scope in a difficult airway: A case report.
10.4097/kjae.2008.55.5.618
- Author:
Myeong Hwan KIM
1
;
Ji Seon SON
;
Hyung Sun LIM
;
Deok Kyu KIM
;
Dong Chan KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Chonbuk National University Medical School, Jeonju, Korea. sjs6803@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
difficult intubation;
fiberoptic nasotracheal intubation;
nasal bleeding
- MeSH:
Anoxia;
Epistaxis;
Handling (Psychology);
Hemorrhage;
Humans;
Intubation;
Nasal Cavity;
Suction;
Trismus
- From:Korean Journal of Anesthesiology
2008;55(5):618-620
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Nasal bleeding related to nasal trauma is the most common complication of nasotracheal intubation with a fiberoptic scope. When nasotracheal intubation with a fiberoptic scope is performed, profuse bleeding from the nasal cavity makes it difficult to handle a fiberoptic scope and may cause a hypoxemia. So when nasal bleeding occurs, it is important to suction the nasal cavity for easy handling of a fiberoptic scope. But, it may be difficult to suction in a nasal cavity with a fiberoptic suction port only. We report a patient with nasal bleeding following nasotracheal intubation with a fiberoptic scope because of articular trismus, and successful nasotracheal intubation utilizing a fiberoptic scope by suctioning with an extra suction apparatus.
