Combitube insertion in the situation of acute airway obstruction after extubation in patients underwent two-jaw surgery.
10.17245/jdapm.2015.15.4.235
- Author:
Yoon Ji CHOI
1
;
Sookyung PARK
;
Seong In CHI
;
Hyun Jeong KIM
;
Kwang Suk SEO
Author Information
1. Department of Anesthesiology and Pain Medicine, Seoul National University Bungdang Hospital, Seongnam, Korea.
- Publication Type:Case Report
- Keywords:
Airway obstruction;
Combitube;
Extubation;
Post-anesthesia complication, Two-jaw surgery
- MeSH:
Airway Obstruction*;
Edema;
Emergencies;
Hematoma;
Humans;
Laryngeal Masks;
Mouth;
Oxygen;
Young Adult
- From:Journal of Dental Anesthesia and Pain Medicine
2015;15(4):235-239
- CountryRepublic of Korea
- Language:English
-
Abstract:
The Combitube is an emergency airway-maintaining device, which can supply oxygen to dyspneic patients in emergency situations following two-jaw surgery. These patients experience difficulty in opening the mouth or have a partially obstructed airway caused by edema or hematoma in the oral cavity. As such, they cannot maintain the normal airway. The use of a Combitube may be favorable compared to the laryngeal mask airway because it is a thin and relatively resilient tube. A healthy 24-year-old man was dyspneic after extubation. Oxygen saturation fell below 90% despite untying the bimaxillary fixation and ambubagging. The opening of the mouth was narrow; thus, emergency airway maintenance was gained by insertion of a Combitube. The following day, a facial computer tomography revealed that the airway space narrowing was severe compared to its pre-operational state. After the swelling subsided, the patient was successfully extubated without complications.
