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KMID : 0980220120120020121
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Journal of the Korean Dental Society of Anesthesiology
2012 Volume.12 No. 2 p.121 ~ p.123
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Blind Intubation Using Fiberoptic Bronchoscope in Epistaxis
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Lee Seung-Hyun
Yoon Ji-Young
Kim Cheul-Hong
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Abstract
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Nasotracheal intubation is an essential procedure during general anesthesia for dental treatment. Fiberoptic intubation is best accomplished by those who perform it as part of their daily practice. But nasal approach of fiberoptic intubation has some complications such as epistaxis and laryngeal injury. Especially, epistaxis is common and it make fiberoptic intubation because of limited view. When the epistaxis obstruct the field of vision we have to withdraw the fiberoptic bronchoscope and consider the other method for securing the airway. We succeeded in securing the airway of patient who had epistaxis during the fiberoptic nasotracheal intubation without withdrawing the fiberoptic bronchoscope. We used blind intubation guided by light source placed the tip of fiberoptic bronchscope applied to lightwand intubation.
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KEYWORD
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Epistaxis, Fiberoptic bronchoscope, Fiberoptic intubation, Lightwand intubation, Nasotracheal intubation
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