Korean J Anesthesiol Search


Korean Journal of Anesthesiology 2007;53(4):516-519.
DOI: https://doi.org/10.4097/kjae.2007.53.4.516   
Damage to an Endotracheal Tube during Lefort I Osteotomy: A case report.
Eu Gene Bang, Young Hoon Jeon, Jung Gil Hong
Department of Anesthesiology and Pain Medicine, School of Medicine, Kyungpook National University, Daegu, Korea. jeon68@knu.ac.kr
In maxillofacial surgery endotracheal tube provides patent airway and prevents patient from aspirating the blood. But serious complications such as tube obstruction or injury have been reported. In this case, endotracheal tube injury by surgical saw during Lefort I osteotomy occurred. We could not exchange the defective tube for a good one using laryngoscope or fiberoptic bronchoscope due to edema and blood in nostril and oral cavity. We didn't have any tube exchanger available too. Therefore, to provide patent and safe airway, we packed gauze around the lacerated part of tube, provided positive end expiratory pressure ventilation and increased oxygen flow. After anesthesia, the damaged tube was safely removed and there were no respiratory complications.
Key Words: endotracheal tube damage; Lefort I osteotomy; Maxillofacial surgery


Browse all articles >

Editorial Office
101-3503, Lotte Castle President, 109 Mapo-daero, Mapo-gu, Seoul 04146, Korea
Tel: +82-2-792-5128    Fax: +82-2-792-4089    E-mail: journal@anesthesia.or.kr                

Copyright © 2024 by Korean Society of Anesthesiologists.

Developed in M2PI

Close layer
prev next