GKD Anest Yoð Bak Dern Derg. 2020; 26(2): 106-110 | DOI: 10.5222/GKDAD.2020.72621

Zor Entübasyon Olgusunda Hava Yolu Ekstübasyon Kateterinin Yol Açtýðý Pnömotoraks

Kezban Aydan Okuyucu¹, Emine Yurt¹, Mehmet Yýlmaz¹, Ayþe Adin Selçuk², Kemal Tolga Saraçoðlu^1
1Sbü Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi Anestezi Ve Reanimasyon Ana Bilim Dalý, Kocaeli
²Sbü Kocaeli Derince Eðitim Ve Araþtýrma Hastanesi Kulak Burun Boðaz Ana Bilim Dalý, Kocaeli

Beklenen zor entubasyon olgularýnda uyanýk fiberoptik entübasyon ve tüp deðiþtirici kateter kullanýlmaktadýr. Bu uygulamalar hayat kurtarýcý olmasýnýn yanýnda bazý komplikasyonlara neden olabilir. Bu olguda retromolar kitleye baðlý aðýz açýklýðý 0.2 mm olan hastaya, biyopsi amaçlý uyanýk nazal fiberoptik entubasyon yapýldý. Ekstubasyonda tüp deðiþtirici kateter kulanýldý. Ekstubasyon sonrasý Pnömotoraks gözlendi. Bu olguda nazal uyanýk fiberoptik entübasyon, tüp deðiþtirici kateterle yapýlan ekstubasyon ve sonrasýnda geliþen pnömotoraks ile ilgili deneyimimizi sunduk.

Anahtar Kelimeler: Uyanýk Fiberoptik Nazotrakeal Entubasyon, Tüp deðiþtirici kateter, Pnömotoraks, zor havayolu

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Pneumothorax Caused by Airway Extubation Catheter in a Difficult Intubation Case

Kezban Aydan Okuyucu¹, Emine Yurt¹, Mehmet Yýlmaz¹, Ayþe Adin Selçuk², Kemal Tolga Saraçoðlu^1
1Sbü Kocaeli Derince Education And Research Hospital Department Of Anesthesia And Reanimation, Kocaeli
²Sbü Kocaeli Derince Education And Research Hospital Department Of Kbb, Kocaeli

In the expected difficult intubation, Awake Fiber–Optic Nasotracheal Intubation and tube-changing catheter are used. These practices can be life-saving as well as cause some complications. In this case report, a patient with a mouth opening of 0.2 mm due to retromolar mass was subjected to Awake Fiber–Optic Nasotracheal Intubation for biopsy. A tube changer catheter was used on the extubation. Pneumothorax was observed after extubation. In this case, we present our experience with Awake Fiber–Optic Nasotracheal Intubation, extubation with airway exchange catheter and developing pneumothorax.

Keywords: Awake Fiber–Optic Nasotracheal Intubation, Airway Exchange Catheter, Pneumothorax, difficult airway

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