Modified submental orotracheal intubation using the blue cap on the end of the thoracic catheter.
The technique of submental intubation in patients with multiple facial fractures and skull base fracture was originally described by Altemir. This technique provides a secure airway and allows intermaxillary fixation while avoiding the complications of nasotracheal intubation or tracheostomy. However, when the endotracheal pilot balloon and endotracheal tube are pulled through the submental incision site using this technique, soft tissues or blood may enter the endotracheal tube and trauma may result in the surrounding tissues. To overcome these problems, we carried out a modification of submental orotracheal intubation using the blue cap on the end of the thoracic catheter in a patient with mandibular fractures and injury to the skull base and found that this modification resulted in a safer and less traumatic intubation.
Lim
Hyun Kyung
HK
Department of Anesthesiology, Inha University College of Medicine, Inchon, Korea.
Kim
Il Kyu
IK
Han
Jung Uk
JU
Kim
Tae Jung
TJ
Lee
Choon Soo
CS
Song
Jang Ho
JH
Yoon
Seung Hwan
SH
Jung
Jong Kwon
JK
D002404:Catheterization; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D008337:Mandibular Fractures / Q000601:surgery*; D008875:Middle Aged