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KMID : 0356920080550050618
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Korean Journal of Anesthesiology
2008 Volume.55 No. 5 p.618 ~ p.620
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Effective removal of epistaxis during nasotracheal intubation utilizing a fiberoptic scope in a difficult airway -A case report -
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Kim Myeong-Hwan
Son Ji-Seon
Lim Hyung-Sun
Kim Duk-Kyu
Kim Dong-Chan
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Abstract
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Nasal bleeding related to nasal trauma is the most common complication of nasotracheal intubation with a fiberoptic scope. When nasotracheal intubation with a fiberoptic scope is performed, profuse bleeding from the nasal cavity makes it difficult to handle a fiberoptic scope and may cause a hypoxemia. So when nasal bleeding occurs, it is important to suction the nasal cavity for easy handling of a fiberoptic scope. But, it may be difficult to suction in a nasal cavity with a fiberoptic suction port only. We report a patient with nasal bleeding following nasotracheal intubation with a fiberoptic scope because of articular trismus, and successful nasotracheal intubation utilizing a fiberoptic scope by suctioning with an extra suction apparatus.
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KEYWORD
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difficult intubation, fiberoptic nasotracheal intubation, nasal bleeding
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