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개구가 어려운 소아에서 성인 및 소아용 굴곡성 기관지경 두가지를 이용한 경비 기관내 삽관

Other Titles
 Fiberoptic Nasotracheal Intubation in Pediatric Patients with Difficult Mouth Opening 
 이우창  ;  구본녀  ;  유대현  ;  박형식  ;  박윤곤  ;  민경태  ;  김기준 
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.43(6) : 795-799, 2002 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
Issue Date
Fiberoptic intubation ; ketamine ; Pierre Robin syndrome ; sevoflurane ; temporomandibular joint ankylosis
We present two pediatric patients, one with Pierre Robin syndrome and one with temporomandibular joint ankylosis with limited mouth opening. They had historical and physical evidence of airway obstruction, difficult feeding, and sleep disturbance.
were scheduled for oromaxillofacial surgery. In each case, two different-sized fiberoptic bronchoscopes were used for nasotracheal intubation. After loss of consciousness following an Ⅳ injection of ketamine or inhalation of sevoflurane while
maintaining spontaneous respiration, 10% lidocaine was sprayed into one nostril. Following insertion of a 60 ㎝ Olympus LF-2 fiberoptic bronchoscope (OD: 3.8 ㎜) through the same nostril without tube placement, the vocal cords were visualized and
topical anesthesia of the larynx was achieved by spraying 2% lidocaine through the biopsy channel. Thirty seconds later, the bronchoscope was passed into the trachea and 2% lidocaine was sprayed intratracheally. Then, the bronchoscope was
withdrawn. An
endotracheal tube was advanced through the same nostril and positioned in the nasopharynx and the ultrathin fiberoptic bronchoscope (OD: 2.2 ㎜) was threaded through the tube. There was neither a cough nor laryngeal spasm during advancement of the
into the trachea. Extubation was performed without compromise in the operating room. The patients were discharged uneventfully.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Koo, Bon-Nyeo(구본녀) ORCID logo https://orcid.org/0000-0002-3189-1673
Kim, Ki Jun(김기준) ORCID logo https://orcid.org/0000-0003-1950-7998
Min, Kyeong Tae(민경태) ORCID logo https://orcid.org/0000-0002-3299-4500
Park, Wyun Kon(박윤곤)
Park, Hyung Sik(박형식)
Lew, Dae Hyun(유대현)
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