A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery

Author:

Koyanagi Yuko1,Yokota Eiko1,Iwata Marina1,Shimazaki Ritsuko1,Misaki Toru1,Oi Yoshiyuki1

Affiliation:

1. Department of Anesthesiology, Nihon University School of Dentistry, Tokyo, Japan

Abstract

A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. The removed endotracheal tube was torn 19 cm from the distal tip. The McGrath MAC was useful for visualizing the glottis and confirming the entire course of the tube exchange despite the patient's having a difficult airway (Cormack-Lehane grade 3).

Publisher

American Dental Society of Anesthesiology (ADSA)

Subject

Anesthesiology and Pain Medicine

Reference7 articles.

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2. Kita F, Miyawaki T, Kohjitani A, et al. A report of a damaged endotracheal tube during oral surgery [in Japanese]. J Jpn Dent Soc Anesthesiol. 2003;31:39–40.

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