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Air leakage due to the cuff hanging on the vocal cords during nasotracheal intubation: a case report : Air leakage due to the cuff hanging on the vocal cords during nasotracheal intubation: a case report

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Authors

유승화; 감명환; 박세웅; 김현정; 서광석

Issue Date
2023-02
Publisher
대한치과마취과학회
Citation
Journal of Dental Anesthesia and Pain Medicine, Vol.23 No.1, pp.39-43
Abstract
Nasotracheal intubation is commonly performed under general anesthesia in oral and maxillofacial surgery. For the convenience of surgery, nasal Ring-Adair-Elwyn (RAE) tubes are mainly used. Because the nasal RAE tubes were bent in an L shape, the insertion depth was limited. Particularly, it is necessary to accurately determine the appropriate depth of the RAE tubes in children. Several types of nasal RAE tubes are used in the medical market, which vary in material and length.
We performed endotracheal intubation using a nasal RAE tube for double-jaw surgery, but air leakage persisted even when the air pressure in the cuff was increased. When checked with a laryngoscope, it was confirmed that the tube was pushed out, and the cuff was caught on the vocal cords, causing air leakage. Since inserting the tube deeply did not solve the problem, replacing it with a nasal RAE tube (PolarTM, Preformed Tracheal Tube, Smith Medical, Inc., USA) did not cause air leakage; thus, we reported this case.
ISSN
2383-9309
URI
https://hdl.handle.net/10371/200394
DOI
https://doi.org/10.17245/jdapm.2023.23.1.39
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Karm, Myong-Hwan Image

Karm, Myong-Hwan감명환
(기금)조교수
  • School of Dentistry
  • Department of Dentistry
Research Area Dental Anesthesiology, Pain Control, 치과마취, 치과진정법, 통증조절

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