Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation

被引:22
作者
Cherng, Chen-Hwan [1 ,2 ]
Chen, Yuan-Wu [2 ,3 ]
机构
[1] Tri Serv Gen Hosp, Dept Anesthesiol, Taipei 114, Taiwan
[2] Natl Def Med Ctr, Taipei 114, Taiwan
[3] Tri Serv Gen Hosp, Div Oromaxillary Surg, Taipei 114, Taiwan
关键词
Nasal ala pressure sore; Nasal intubation; COMPLICATION; NECROSIS;
D O I
10.1007/s00540-010-1009-z
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.
引用
收藏
页码:959 / 961
页数:3
相关论文
共 8 条
[1]   Use of a polyvinyl acetyl sponge (Merocel) nasal pack to prevent alar necrosis during prolonged nasal intubation [J].
Anand, R. ;
Turner, M. ;
Sharma, S. ;
Mourouzis, C. ;
Mellor, T. K. ;
Brennan, P. A. .
BRITISH JOURNAL OF ORAL & MAXILLOFACIAL SURGERY, 2007, 45 (07) :601-601
[2]  
DAUPHINEE K, 1998, EMERG MED CLIN N AM, V6, P715
[3]   RADIOGRAPHIC EVALUATION OF ENDOTRACHEAL-TUBE POSITION [J].
GOODMAN, LR ;
CONRARDY, PA ;
LAING, F ;
SINGER, MM .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1976, 127 (03) :433-434
[4]   Preventing Pressure Sores of the Nasal Ala After Nasotracheal Tube Intubation: From Animal Model to Clinical Application [J].
Huang, Tze-Ta ;
Tseng, Chih-En ;
Lee, Tsan-Mu ;
Yeh, Jen-Ying ;
Lai, Yu-Yung .
JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, 2009, 67 (03) :543-551
[5]  
Huang WS, 2002, J MED SCI, V22, P101
[6]   EPISTAXIS AND NASOTRACHEAL INTUBATION - PREVENTION WITH VASOCONSTRICTOR SPRAY [J].
OHANLON, J ;
HARPER, KW .
IRISH JOURNAL OF MEDICAL SCIENCE, 1994, 163 (02) :58-60
[7]   Accidental middle turbinectomy: A complication of nasal intubation [J].
Williams, AR ;
Burt, N ;
Warren, T .
ANESTHESIOLOGY, 1999, 90 (06) :1782-1784
[8]   NASAL NECROSIS - COMPLICATION OF NASOTRACHEAL INTUBATION [J].
ZWILLICH, C ;
PIERSON, DJ .
CHEST, 1973, 64 (03) :376-377