Combitube insertion in the situation of acute airway obstruction after extubation in patients underwent two-jaw surgery
Journal of Dental Anesthesia and Pain Medicine
;
: 235-239, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-38877
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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oxígeno
/
Máscaras Laríngeas
/
Obstrucción de las Vías Aéreas
/
Edema
/
Urgencias Médicas
/
Hematoma
/
Boca
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Dental Anesthesia and Pain Medicine
Año:
2015
Tipo del documento:
Artículo
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