Unanticipated difficult nasotracheal extubation following oral surgery

Suet Li Leong, Yao Tsung Lin, Chung Hsi Hsing, Kuo Mao Lan, Ming Chung Lin

Research output: Contribution to journalArticle

Abstract

Difficult tracheal extubation is a rare but potentially dangerous problem that can be life threatening especially when it is unexpected and there is a lack of preparation. Most of these cases are associated with orofacial surgery. We herein present two patients with oral cavity cancer who experienced unexpected postoperative difficult nasotracheal extubation by a Kirschner pin penetrating the endotracheal tube and fixing the tube at the maxillary bone following tumor resection. The pins were found by fiberoptic bronchoscopy. Both patients were returned to the operating theater immediately for removal of the penetrating pins as well as the endotracheal tubes. The common causes of difficult tracheal extubation and strategies of managing these situations are discussed in the article.

Original languageEnglish
Pages (from-to)197-200
Number of pages4
JournalActa Anaesthesiologica Taiwanica
Volume52
Issue number4
DOIs
Publication statusPublished - Dec 1 2014
Externally publishedYes

Fingerprint

Airway Extubation
Oral Surgery
Mouth Neoplasms
Maxilla
Bronchoscopy
Mouth
Neoplasms

Keywords

  • extubation
  • Key words bronchoscopy
  • Kirschner pin
  • oral cavity cancer

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Unanticipated difficult nasotracheal extubation following oral surgery. / Leong, Suet Li; Lin, Yao Tsung; Hsing, Chung Hsi; Lan, Kuo Mao; Lin, Ming Chung.

In: Acta Anaesthesiologica Taiwanica, Vol. 52, No. 4, 01.12.2014, p. 197-200.

Research output: Contribution to journalArticle

Leong, Suet Li ; Lin, Yao Tsung ; Hsing, Chung Hsi ; Lan, Kuo Mao ; Lin, Ming Chung. / Unanticipated difficult nasotracheal extubation following oral surgery. In: Acta Anaesthesiologica Taiwanica. 2014 ; Vol. 52, No. 4. pp. 197-200.
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