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Management of Detachment of Pilot Balloon During Intraoral Repositioning of the Submental Endotracheal Tube

Authors
 Kyung Bong Yoon  ;  Byung Ho Choi  ;  Hyun Kyo Lim  ;  Hye Sook Chang 
Citation
 YONSEI MEDICAL JOURNAL, Vol.45(4) : 748-750, 2004 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2004
MeSH
Adult ; Humans ; Intubation, Intratracheal/instrumentation* ; Intubation, Intratracheal/methods* ; Male ; Maxillofacial Injuries/surgery* ; Mouth ; Oral Surgical Procedures
Keywords
Submental intubation ; maxillofacial injuries ; endotracheal tube
Abstract
Submental endotracheal intubation for surgery was used as an alternative to nasotracheal intubation in patients with craniomaxillofacial injury. Generally extubation was performed in the operation room by pulling the tube through the submental incision site. When extubation is not indicated, intraoral indwelling is preferred to submental intubation. We report a case of a 35-year-old male patient with multiple facial bone fractures. At the end of the surgery, we noticed the oropharyngeal edema, and so the submental intubation was converted into a standard orotracheal intubation. During that procedure, the pilot balloon was accidentally detached from the endotracheal tube. The situation was managed by cutting a pilot tube from a new, unused endotracheal tube and connecting it to the intubated tube using a needle connector.
Files in This Item:
T200403561.pdf Download
DOI
10.3349/ymj.2004.45.4.748
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Yoon, Kyoung Bong(윤경봉) ORCID logo https://orcid.org/0000-0002-4167-1375
Choi, Byung Ho(최병호)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112841
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