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Modified submental intubation techniques for maxillofacial surgery - A report of five cases -

BACKGROUND: Submental intubation has been the recommended airway management procedure for maxillofacial surgery since proposed by Altemir in 1986. We adopted various submental intubation modifications based on modified intubation protocols and report on the effectiveness and problems of each modifie...

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Autores principales: Jeon, Yeong-gwan, Lee, Chunui, Hong, Dongeui, Jin, Younghyun, Lim, Hyun Kyo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Anesthesiologists 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346202/
https://www.ncbi.nlm.nih.gov/pubmed/35918867
http://dx.doi.org/10.17085/apm.21124
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author Jeon, Yeong-gwan
Lee, Chunui
Hong, Dongeui
Jin, Younghyun
Lim, Hyun Kyo
author_facet Jeon, Yeong-gwan
Lee, Chunui
Hong, Dongeui
Jin, Younghyun
Lim, Hyun Kyo
author_sort Jeon, Yeong-gwan
collection PubMed
description BACKGROUND: Submental intubation has been the recommended airway management procedure for maxillofacial surgery since proposed by Altemir in 1986. We adopted various submental intubation modifications based on modified intubation protocols and report on the effectiveness and problems of each modified method. CASE: Among a total of 13 submental intubation cases during the last five years, five representative methods are described. The proximal end of the endotracheal tube was protected by a nelaton catheter in case 1, by a suction connector in case 2, and by a dental needle cap in case 3. In case 4, a nasal speculum was used to expand a single route, and in case 5, a laparoscopic trocar was used to secure a single route. CONCLUSIONS: Use of a laparoscopic trocar might be the most effective way to obtain a single submental route. However, considering cost, use of a nasal speculum is also an effective suboptimal solution.
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spelling pubmed-93462022022-08-04 Modified submental intubation techniques for maxillofacial surgery - A report of five cases - Jeon, Yeong-gwan Lee, Chunui Hong, Dongeui Jin, Younghyun Lim, Hyun Kyo Anesth Pain Med (Seoul) Airway Management BACKGROUND: Submental intubation has been the recommended airway management procedure for maxillofacial surgery since proposed by Altemir in 1986. We adopted various submental intubation modifications based on modified intubation protocols and report on the effectiveness and problems of each modified method. CASE: Among a total of 13 submental intubation cases during the last five years, five representative methods are described. The proximal end of the endotracheal tube was protected by a nelaton catheter in case 1, by a suction connector in case 2, and by a dental needle cap in case 3. In case 4, a nasal speculum was used to expand a single route, and in case 5, a laparoscopic trocar was used to secure a single route. CONCLUSIONS: Use of a laparoscopic trocar might be the most effective way to obtain a single submental route. However, considering cost, use of a nasal speculum is also an effective suboptimal solution. Korean Society of Anesthesiologists 2022-07-31 2022-06-30 /pmc/articles/PMC9346202/ /pubmed/35918867 http://dx.doi.org/10.17085/apm.21124 Text en Copyright © the Korean Society of Anesthesiologists, 2022 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Airway Management
Jeon, Yeong-gwan
Lee, Chunui
Hong, Dongeui
Jin, Younghyun
Lim, Hyun Kyo
Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title_full Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title_fullStr Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title_full_unstemmed Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title_short Modified submental intubation techniques for maxillofacial surgery - A report of five cases -
title_sort modified submental intubation techniques for maxillofacial surgery - a report of five cases -
topic Airway Management
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9346202/
https://www.ncbi.nlm.nih.gov/pubmed/35918867
http://dx.doi.org/10.17085/apm.21124
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