Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons
Identifieur interne : 001946 ( Main/Exploration ); précédent : 001945; suivant : 001947Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons
Auteurs : Mehul R. Jaisani [Népal] ; Leeza Pradhan [Népal] ; Balkrishna Bhattarai [Népal] ; Alok Sagtani [Népal]Source :
- Journal of Maxillofacial & Oral Surgery [ 0972-8279 ] ; 2014.
Abstract
To evaluate the clinical outcomes of alternative techniques of intubation in patients sustaining maxillofacial injuries, where nasotracheal intubation (NTI) is best avoided.
Alternative techniques to standard naso-tracheal intubation like submental intubation, orotracheal intubation-retrotuberosity/retromolar and missing dentition were used and variables of clinical outcome recorded.
Submental intubation provides an unobstructed intraoral surgical field, avoids intraoperative and postoperative complications of tracheostomy, and overcomes the disadvantages of NTI. In our experience with submental intubation (6 cases), we only had complication related to tube apparatus like damage to pilot balloon. With retrotuberosity intubation (5 cases) we did not encounter any complications and the only limitations were bulbous maxillary tuberosity. Retromolar intubation (4 cases) a safe noninvasive technique has disadvantages like tube interference within the surgical field and not feasible in case of limited retromolar space. Orotracheal-missing dentition intubation (4 cases) is of great advantage i.e. it can be used in cases where NTI is contraindicated, no specialized skill required, no added cost, avoids the need for tracheostomy, no extra-oral procedures required and does not interfere with occlusion/MMF; with disadvantage of occasional tube interference within the surgical field.
Preferred techniques of securing an airway like orotracheal, nasotracheal may not always be applicable, thus a trauma surgeon-anesthesist team should always have alternative techniques in their armamentarium to reduce the morbidity associated with these patients without interference with occlusion, which is prime goal in jaw fracture reduction. We have used these techniques in a country with limited resources and found them equally effective and convenient to use.
Url:
DOI: 10.1007/s12663-014-0679-8
PubMed: 26028885
PubMed Central: 4444713
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Pmc, to step Corpus: 000B14
- to stream Pmc, to step Curation: 000B14
- to stream Pmc, to step Checkpoint: 001384
- to stream Ncbi, to step Merge: 005C06
- to stream Ncbi, to step Curation: 005C06
- to stream Ncbi, to step Checkpoint: 005C06
- to stream Main, to step Merge: 001952
- to stream Main, to step Curation: 001946
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons</title>
<author><name sortKey="Jaisani, Mehul R" sort="Jaisani, Mehul R" uniqKey="Jaisani M" first="Mehul R." last="Jaisani">Mehul R. Jaisani</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pradhan, Leeza" sort="Pradhan, Leeza" uniqKey="Pradhan L" first="Leeza" last="Pradhan">Leeza Pradhan</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bhattarai, Balkrishna" sort="Bhattarai, Balkrishna" uniqKey="Bhattarai B" first="Balkrishna" last="Bhattarai">Balkrishna Bhattarai</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Anaesthesiology and Critical Care, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Anaesthesiology and Critical Care, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagtani, Alok" sort="Sagtani, Alok" uniqKey="Sagtani A" first="Alok" last="Sagtani">Alok Sagtani</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26028885</idno>
<idno type="pmc">4444713</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4444713</idno>
<idno type="RBID">PMC:4444713</idno>
<idno type="doi">10.1007/s12663-014-0679-8</idno>
<date when="2014">2014</date>
<idno type="wicri:Area/Pmc/Corpus">000B14</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000B14</idno>
<idno type="wicri:Area/Pmc/Curation">000B14</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000B14</idno>
<idno type="wicri:Area/Pmc/Checkpoint">001384</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001384</idno>
<idno type="wicri:Area/Ncbi/Merge">005C06</idno>
<idno type="wicri:Area/Ncbi/Curation">005C06</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">005C06</idno>
<idno type="wicri:doubleKey">0972-8279:2014:Jaisani M:intubation:techniques:preferences</idno>
<idno type="wicri:Area/Main/Merge">001952</idno>
<idno type="wicri:Area/Main/Curation">001946</idno>
<idno type="wicri:Area/Main/Exploration">001946</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons</title>
<author><name sortKey="Jaisani, Mehul R" sort="Jaisani, Mehul R" uniqKey="Jaisani M" first="Mehul R." last="Jaisani">Mehul R. Jaisani</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pradhan, Leeza" sort="Pradhan, Leeza" uniqKey="Pradhan L" first="Leeza" last="Pradhan">Leeza Pradhan</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bhattarai, Balkrishna" sort="Bhattarai, Balkrishna" uniqKey="Bhattarai B" first="Balkrishna" last="Bhattarai">Balkrishna Bhattarai</name>
<affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Anaesthesiology and Critical Care, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Anaesthesiology and Critical Care, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Sagtani, Alok" sort="Sagtani, Alok" uniqKey="Sagtani A" first="Alok" last="Sagtani">Alok Sagtani</name>
<affiliation wicri:level="1"><nlm:aff id="Aff1">Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan, Nepal</nlm:aff>
<country xml:lang="fr">Népal</country>
<wicri:regionArea>Department of Oral and Maxillofacial Surgery, College of Dental Surgery, B.P Koirala Institute of Health Sciences, Dharan</wicri:regionArea>
<wicri:noRegion>Dharan</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">Journal of Maxillofacial & Oral Surgery</title>
<idno type="ISSN">0972-8279</idno>
<idno type="eISSN">0974-942X</idno>
<imprint><date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec><title>Objective</title>
<p>To evaluate the clinical outcomes of alternative techniques of intubation in patients sustaining maxillofacial injuries, where nasotracheal intubation (NTI) is best avoided.</p>
</sec>
<sec><title>Material and Methods</title>
<p>Alternative techniques to standard naso-tracheal intubation like submental intubation, orotracheal intubation-retrotuberosity/retromolar and missing dentition were used and variables of clinical outcome recorded.</p>
</sec>
<sec><title>Results</title>
<p>Submental intubation provides an unobstructed intraoral surgical field, avoids intraoperative and postoperative complications of tracheostomy, and overcomes the disadvantages of NTI. In our experience with submental intubation (6 cases), we only had complication related to tube apparatus like damage to pilot balloon. With retrotuberosity intubation (5 cases) we did not encounter any complications and the only limitations were bulbous maxillary tuberosity. Retromolar intubation (4 cases) a safe noninvasive technique has disadvantages like tube interference within the surgical field and not feasible in case of limited retromolar space. Orotracheal-missing dentition intubation (4 cases) is of great advantage i.e. it can be used in cases where NTI is contraindicated, no specialized skill required, no added cost, avoids the need for tracheostomy, no extra-oral procedures required and does not interfere with occlusion/MMF; with disadvantage of occasional tube interference within the surgical field.</p>
</sec>
<sec><title>Conclusion</title>
<p>Preferred techniques of securing an airway like orotracheal, nasotracheal may not always be applicable, thus a trauma surgeon-anesthesist team should always have alternative techniques in their armamentarium to reduce the morbidity associated with these patients without interference with occlusion, which is prime goal in jaw fracture reduction. We have used these techniques in a country with limited resources and found them equally effective and convenient to use.</p>
</sec>
</div>
</front>
</TEI>
<affiliations><list><country><li>Népal</li>
</country>
</list>
<tree><country name="Népal"><noRegion><name sortKey="Jaisani, Mehul R" sort="Jaisani, Mehul R" uniqKey="Jaisani M" first="Mehul R." last="Jaisani">Mehul R. Jaisani</name>
</noRegion>
<name sortKey="Bhattarai, Balkrishna" sort="Bhattarai, Balkrishna" uniqKey="Bhattarai B" first="Balkrishna" last="Bhattarai">Balkrishna Bhattarai</name>
<name sortKey="Pradhan, Leeza" sort="Pradhan, Leeza" uniqKey="Pradhan L" first="Leeza" last="Pradhan">Leeza Pradhan</name>
<name sortKey="Sagtani, Alok" sort="Sagtani, Alok" uniqKey="Sagtani A" first="Alok" last="Sagtani">Alok Sagtani</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/EdenteV2/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001946 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001946 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= EdenteV2 |flux= Main |étape= Exploration |type= RBID |clé= PMC:4444713 |texte= Intubation Techniques: Preferences of Maxillofacial Trauma Surgeons }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:26028885" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \ | NlmPubMed2Wicri -a EdenteV2
This area was generated with Dilib version V0.6.32. |