Air leakage due to the cuff hanging on the vocal cords during nasotracheal intubation: a case report
10.17245/jdapm.2023.23.1.39
- Author:
Seung-Hwa RYOO
1
;
Myong-Hwan KARM
;
Se-Ung PARK
;
Hyun Jeong KIM
;
Kwang-Suk SEO
Author Information
1. Department of Dental Anesthesiology, Seoul National University, School of Dentistry, Seoul, Korea
- Publication Type:Case Report
- From:Journal of Dental Anesthesia and Pain Medicine
2023;23(1):39-43
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nasotracheal intubation is commonly performed under general anesthesia in oral and maxillofacial surgery. For the convenience of surgery, nasal Ring-Adair-Elwyn (RAE) tubes are mainly used. Because the nasal RAE tubes were bent in an “L” shape, the insertion depth was limited. Particularly, it is necessary to accurately determine the appropriate depth of the RAE tubes in children. Several types of nasal RAE tubes are used in the medical market, which vary in material and length. We performed endotracheal intubation using a nasal RAE tube for double-jaw surgery, but air leakage persisted even when the air pressure in the cuff was increased. When checked with a laryngoscope, it was confirmed that the tube was pushed out, and the cuff was caught on the vocal cords, causing air leakage. Since inserting the tube deeply did not solve the problem, replacing it with a nasal RAE tube (Polar TM , Preformed Tracheal Tube, Smith Medical, Inc., USA) did not cause air leakage; thus, we reported this case.
