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Intubating Laryngeal Mask Airway용 강화튜브를 이용한 턱밑 기관내 삽관

Other Titles
 Submental Intubation with a Reinforced Tube for an Intubating Laryngeal Mask Airway (ILMA) 
 박호동  ;  김기준  ;  김형준  ;  하지영 
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.43(4) : 507-510, 2002 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
Issue Date
Intubating laryngeal mask airway ; reinforced tube ; Ring-Adair-Elwyn tube ; submental intubation
Nasotracheal intubation, when performed after craniomaxillofacial trauma, may result in the passage of the tube into the cranium, causing significant brain damage. Orotracheal intubation may be preferred, but interferes with the placement of intermaxillary fixation. To avoid these problems, a tracheostomy may be an alternative but it carries significant morbidity. The submental route for endotracheal intubation has been proposed as an alternative to a tracheostomy in the surgical management of craniomaxillofacial trauma. Ideally, this maneuver is performed by using a reinforced tube. Unfortunately, however, some reinforced tracheal tubes are manufactured with nondetachable connectors. Removing them forcefully may be possible, but they will then stay dangerously loose after reconnection. We report a case in which a standard oral Ring-Adair-Elwyn (RAE) tube and reinforced tube for ILMA was used so not to be loose after the reconnection.
Files in This Item:
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyung Gon(김형곤)
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