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Case Reports
. 2021 Jul-Sep;20(3):232-234.
doi: 10.4103/aam.aam_15_20.

Fiber-optic-assisted endotracheal intubation complicated by iatrogenic right main bronchus obstruction

Sanjay Kumar  1 , Vaishali Waindeskar  1 , Deepti Aggrawal  1
Affiliations
Case Reports

Fiber-optic-assisted endotracheal intubation complicated by iatrogenic right main bronchus obstruction

Sanjay Kumar et al. Ann Afr Med. 2021 Jul-Sep.

Abstract
in English, French

Several aids have been designed for helping anesthetist in managing the difficult airway. Oral carcinomas often distort the airway anatomy and present as difficult airway usually with restricted mouth opening. In these scenarios, elective nasotracheal intubation with fiberoptic is done to secure the airway as well as to provide the full surgical field to the surgeon. Vertically split nasopharyngeal airway is one of the popular aids used as a conduit to pass fiber-optic bronchoscope. Timely removal of the split nasopharyngeal airway is must and if missed, and pushed inside bronchus leading to iatrogenic complication.

Résumé Plusieurs aides ont été conçues pour aider l'anesthésiste dans la gestion des voies respiratoires difficiles.Les carcinomes oraux déforment souvent l'anatomie des voies respiratoires et présentent comme voie aérienne difficile habituellement avec l'ouverture restreinte de bouche.Dans ces scénarios, l'intubation nasotrachale élective avec la fibreoptique est faite pour fixer les voies respiratoires aussi bien que pour fournir le champ chirurgical complet au chirurgien.Les voies aériennes nasopharyngées à fente verticale est l'une des aides populaires utilisées comme conduit pour passer le bronchoscope à fibre optique.L'enlèvement en temps opportun des voies respiratoires nasopharyngées fendues est doit et si manqué, et poussé à l'intérieur des bronches menant à la complication iatrogène.

Keywords: Complication treatment; fiber-optic bronchoscope; fiber-optic intubation; nasopharyngeal airway; vertically split nasopharyngeal airway.

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Conflict of interest statement

None

References

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