PMID: 15344221Sep 3, 2004Paper

Management of detachment of pilot balloon during intraoral repositioning of the submental endotracheal tube

Yonsei Medical Journal
Kyung-Bong YoonHyun-Kyo Lim

Abstract

Submental endotracheal intubation for surgery was used as an alternative to nasotracheal intubation in patients with craniomaxillofacial injury. Generally extubation was performed in the operation room by pulling the tube through the submental incision site. When extubation is not indicated, intraoral indwelling is preferred to submental intubation. We report a case of a 35-year-old male patient with multiple facial bone fractures. At the end of the surgery, we noticed the oropharyngeal edema, and so the submental intubation was converted into a standard orotracheal intubation. During that procedure, the pilot balloon was accidentally detached from the endotracheal tube. The situation was managed by cutting a pilot tube from a new, unused endotracheal tube and connecting it to the intubated tube using a needle connector.

Citations

Dec 17, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Huijun Jin, Pavan Manohar Patil
Sep 21, 2011·International Journal of Oral and Maxillofacial Surgery·J S JundtJ W Wilson
Feb 4, 2010·Journal of Clinical Anesthesia·Santhosh Gopalakrishnan, Rajashekar Gowni
Jun 24, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Petr Schütz, Hussein H Hamed
May 12, 2010·Paediatric Anaesthesia·Pete G KovatsisPaul A Stricker
Oct 21, 2016·Anesthesia and Analgesia·Amir C Dayan, Richard H Epstein

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