sitting nasal intubation with fiberoptic in an elective mandible surgery under general anesthesia

نویسندگان

seyyed hassan etemadi department of anesthesiology, hazrat fatemeh medical center, iran university of medical sciences, tehran, iran

amir bahrami students’ scientific research center, tehran university of medical sciences, tehran, iran

ali mohammad farahmand students’ scientific research center, tehran university of medical sciences, tehran, iran

mohammad mahdi zamani department of anesthesiology and pain medicine, iran university of medical sciences, tehran, iran; department of anesthesiology and pain medicine, iran university of medical sciences, tehran, iran. tel/fax: +98-2188989162

چکیده

conclusions in this case, after failure of awake fiberoptic intubation, awake direct laryngoscopy and blind nasal intubation, finally awake nasal intubation in sitting position, using fiberoptic led to success. case presentation the present case discusses a patient with severe deformity of mandible that was admitted for correction with free-flap. the following intubation techniques were used for her airway management, respectively: blind awake nasal intubation, awake oral fiberoptic and awake nasal fiberoptic, which failed all. we therefore decided to perform awake nasal intubation, with fiberoptic, in sitting position. introduction patients with mandible deformity may die, as a result of airway management failures. the awake nasal fiberoptic intubation is known as the optimum intubation method, in the mentioned patients, although, in several cases, fiberoptic intubation fails.

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عنوان ژورنال:
anesthesiology and pain medicine

جلد ۵، شماره ۶، صفحات ۰-۰

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