The Laryngeal Mask Airway for exchange of a nasal for an orotracheal tube in a patient with Treacher Collins syndrome

被引：2
|
作者：
Umegaki, Takeshi [1 ]
Murao, Kohei [1 ]
Asai, Takashi [1 ]
Shingu, Koh [1 ]
机构：
[1] Kansai Med Univ, Dept Anesthesiol, Osaka 5708507, Japan
来源：
JOURNAL OF CLINICAL ANESTHESIA | 2007年 / 19卷 / 06期
关键词：
difficult airway; difficult intubation; laryngeal mask airway; nasotracheal tube; orotracheal tube; treacher collins syndrome;
D O I：
10.1016/j.jclinane.2006.12.009
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
A new method of exchange of nasotracheal to orotracheal tube, using the Laryngeal Mask Airway (LMA), in a patient with difficult airway, is described. A 36-year-old woman with Treacher Collins syndrome was scheduled for a malar apatite cutting and a chin-level osteotomy. It was necessary to exchange a nasotracheal tube for an orotracheal tube during the operation. An LMA was inserted while the nasotracheal tube was left in place; a new tube was inserted in the LMA, then a fiberoptic laryngoscope (fiberscope) was inserted through these devices. The nasotracheal tube cuff was deflated, and the fiberscope was inserted into the trachea alongside the nasotracheal tube. The nasotracheal tube was removed, and the oral tube was then advanced into the trachea. (C) 2007 Elsevier Inc. All rights reserved.
引用
收藏
页码：467 / 469
页数：3
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