|
KMID : 0980320150150040235
|
|
Journal of Dental Anesthesia and Pain Medicine
2015 Volume.15 No. 4 p.235 ~ p.239
|
|
|
Combitube insertion in the situation of acute airway obstruction after extubation in patients underwent two-jaw surgery
|
|
Choi Yoon-Ji
Park Soo-Kyung
Chi Seong-In
Kim Hyun-Jeong
Seo Kwang-Suk
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Airway obstruction, Combitube, Extubation, Post-anesthesia complication, Two-jaw surgery
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
|