Submental Intubation with Reinforced Tube for Intubating Laryngeal Mask Airway.
10.3349/ymj.2005.46.4.571
- Author:
Ki Jun KIM
1
;
Jong Seok LEE
;
Hyung Jun KIM
;
Ji Young HA
;
Hyun PARK
;
Dong Woo HAN
Author Information
1. Department of Anesthesiology and Pain Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
LMA-Fastrach (TM) ETT;
maxillofacial trauma;
submental intubation
- MeSH:
Adolescent;
Adult;
Humans;
Intubation, Intratracheal/*instrumentation;
*Laryngeal Masks;
Male
- From:Yonsei Medical Journal
2005;46(4):571-574
- CountryRepublic of Korea
- Language:English
-
Abstract:
Submental endotracheal intubation is a simple and secure alternative to either nasoendotracheal intubation or a tracheostomy in the airway management of maxillofacial trauma. However, a submental endotracheal intubation is quite difficult to manage if adverse events such as a tube obstruction, accidental extubation, or a leaking cuff with the endotracheal tube in the submental route occur, which could endanger the patient. This paper describes the use of a LMA-Fastrach (TM) ETT in the submental endotracheal intubation of patients suffering from maxillofacial trauma. One of the patients was a 16-year-old male, and the other was a 19-year-old male. They were scheduled for an open reduction and internal fixation of the maxillofacial fracture including naso-orbital-ethmoidal (NOE) complex, and a zygomaticomaxillary complex fracture. A submental intubation with a LMA-Fastrach (TM) ETT was performed in both cases, and the operation proceeded without any difficulties. These cases show that the use of the LMA- Fastrach (TM) ETT can improve the safety and efficacy of submental endotracheal intubation. This is because the LMA- Fastrach (TM) ETT has a freely detachable connector, and is flexible enough to keep the patency despite the acute angle of airway.
