A novel method using Seldinger's technique for submental intubation in major craniomaxillofacial fractures: A case series.
Airway management is a challenge to anesthesiologists particularly in maxillofacial surgeries. The oral tracheal tube is unsuitable because it interferes with the surgical field and prevents dental occlusion. Nasotracheal intubation may not always be possible due to structural deformity or trauma to the nasal bones. Tracheostomy and submental intubation have their drawbacks. To overcome these shortcomings we used Percutaneous Dilatational Tracheostomy Kit (PDTK) to modify the technique of submental intubation. Serial dilatations were performed over the guide wire before passing the tracheal tube by submental route, using the PDT kit in four patients. Submental intubation could be achieved in all the four cases with this technique and there were no associated complications. Seldinger's technique is a simple and easy technique with minimal bleeding, imperceptible scar, and more importantly anesthesiologists feel more comfortable because of their familiarity with the Seldinger technique.
Department of Anaesthesiology, NRI Academy of Sciences, Guntur, Andhra Pradesh, India.
Shaik Mastan
SM
Saheb
Department of Anaesthesiology, NRI Academy of Sciences, Guntur, Andhra Pradesh, India.
Vemuri Nagendra
VN
Nath
Oralmaxillofacial Surgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India.
K Phani
KP
Kumar
Department of Anaesthesiology, NRI Academy of Sciences, Guntur, Andhra Pradesh, India.
Pilli Parama Geetha
PP
Padmaja
Maxillofacial surgeries; percutaneous dilatational tracheostomy kit; seldinger's technique