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KMID : 0980220130130020051
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Journal of the Korean Dental Society of Anesthesiology
2013 Volume.13 No. 2 p.51 ~ p.54
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Massive Epistaxis during Nasotracheal Intubation
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Jeon Dae-Geun
Song Jae-Gyok
Kim Seok-Kon
Ji Seung-Heon
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Abstract
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A 30-year-old man with morbid obesity (height: 176 cm, body weight: 100 kg, body mass index: 32.28) was scheduled for reconstruction of the mandibular fracture. During induction of general anesthesia and nasotracheal intubation, we experienced massive epistaxis, hypoxemia and difficult airway management. Fortunately, we performed oro-tracheal intubation with direct laryngoscopy and it barely succeeded. He recovered without any residual complications and rescheduled seven days later and we successfully performed awake fiberoptic nasotracheal intubation. The patient discharged on the fourth postoperative day.
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KEYWORD
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Epistaxis, Hypoxemia, Nasotracheal intubation
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