안면외상 환자의 기관내관에서 발견된 손상된 치아 = Endotracheal tube obstruction by tooth of facial trauma patient

다국어 초록 (Multilingual Abstract)

Difficulties in ventilation are sometimes encountered in intubated patients. In these cases, endotracheal tube kinking, or an obstruction by secretion or foreign bodies should be considered. We experienced an endotracheal tube obstruction by a foreign body. The patient was a 36 year old woman who had a traffic accident. She had already been intubated when entering operating room. However, ventilation was difficult, which was presumed to be caused by an endotracheal tube obstruction. The endotracheal tube was examined by fiberoptic bronchoscopy and the patient's broken tooth was found inside the endotracheal tube. The endotracheal tube was exchanged and ventilation was normalized.

참고문헌 (Reference)

1 "Perianesthetic dental injuries:analysis of incident reports" 16 : 173-176, 2004

2 "Peak airway pressure increase is a late warning sign of partial endotracheal tube obstruction whereas change in expiratory flow is an early warning sign" 100 : 889-893, 2005

3 "Failure to detect an unusual obstruction in a reinforced endotracheal tube with fiberoptic examination" 97 : 909-910, 2003

4 "Evaluation of dental injury following endotracheal intubation using the Periotest technique" 21 : 263-268, 2005

5 "Endotracheal tube obstruction with foreign body. The Indian anaesthestist's forum January 2005" 2005

6 "Delayed obstruction of endotracheal tubes by aspirated foreign bodies:report of two cases" 43 : 630-633, 2004

7 "Acute obstruction of an endotracheal tube due to large mucous plug:removed using flexible bronchoscopy - a case report" 49 : 694-697, 2005