[Utility of a bronchoscope and a gum elastic bougie for nasal intubation in a patient with a history of transsphenoidal surgery].
A 39-year-old man with a history of transsphenoidal surgery was scheduled for sagittal split ramus osteotomy. Nasal intubation was successfully performed using a bronchoscope (BF) and a gum elastic bougie (GB). inserted using a BE The BF was then replaced with a GB. We widened his nasal cavity using the nasal airway. Finally, intubation was performed with an endotracheal tube (7.0 mm) using a GB and a Macintosh laryngoscope. Thus, BF and GB could be safely used for nasal intubation in a patient with a history of transsphenoidal surgery.
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Kota
K
Kamizato
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Satoko
S
Saikawa
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Takehiro
T
Kinjo
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Manabu
M
Kakinohana
Department of Anesthesiology, Faculty of Medicine, University of the Ryukyus, Okinawa 903-0215.
Kazuhiro
K
Sugahara
D000328:Adult; D000758:Anesthesia; D020680:Bronchoscopes; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation* / Q000379:methods; D020704:Laryngoscopes; D008297:Male; D009296:Nasal Cavity / Q000002:abnormalities; D059229:Osteotomy, Sagittal Split Ramus; D011183:Postoperative Complications; D013100:Sphenoid Bone / Q000002:abnormalities* / Q000601:surgery