NAZOTRAKEAL ENTÜBASYON DENEYİMLERİMİZ

Year 2018, Volume: 28 Issue: 3, 353 - 357, 11.07.2018

Ayşe Hande Arpacı Berrin Işık

https://doi.org/10.17567/ataunidfd.473270

Abstract

Amaç: Bu yazıda maksillofasiyal cerrahi
olgularındaki nazotrakeal entübasyon deneyimlerimizi literatür bilgileri
ışığında sunmayı amaçladık.

Gereç ve Yöntem: 01.09.2015-01.11.2016 tarihleri arasında
genel anestezi altında opere edilen  ve tek anestezi hekiminin nazotrakeal
entübasyon uyguladığı olguların anestezi kayıtları retrospektif olarak
incelendi. Cinsiyet, boy, vücut ağırlığı, kullanılan nazotrakeal tüplerin
numaraları, uygulanan operasyon ve operasyon süreleri, entübasyon sırasında
karşılan güçlükler ve bu nedenle uygulanan manevralar ya da girişimler ile
istenmeyen yan etkilere ait veriler değerlendirildi.

Bulgular: Değerlendirilen 227 olgunun tümünün
ba- şarı ile entübe edildiği saptandı. Kullanılan nazotrakeal tüp numaralarının
5.0 ile 8.0 arasında olduğu, entübasyon sonrası 8 olguda kanama gözlendiği, 46
olguda McCoy laringoskopu kullanıldığı saptandı. 14 olguda nazotrakeal tüpün yönlendirilemediği
bu nedenle nazotrakeal tüpün ¼ oranında döndürüldüğü, 8 olguda bu manevra ile
başarılı olunduğu 6 olguda ise Magill forcepsi kullanılarak nazotrakeal
entübasyonun gerçekleştirildiği saptandı.

Sonuç: Dikkatli bir preoperatif
değerlendirme, doğru teknikle, uygun boyutta,  özel  tasarlanmış
nazotrakeal entübasyon tüplerini kullanarak olası komplikasyonları minimalize
ettiğimiz ve tüm olgularda nazotrakeal entübasyonu başarıyla
gerçekleştirdiğimiz kanısındayız.

Anahtar Kelimeler: Entübasyon, maksillofasiyal cerrahi.

OUR EXPERINCE WITH NASOTRACHEAL INTUBATION

ABSTRACT

Aim: In this article, we aimed to present our experience on
nasotracheal intubation in cases with maxillofacial surgery in the light of
literature.

Materials and Methods: Anesthesia
records of cases, undergoing surgery under general anesthesia and with
nasotracheal intubation applied by a single anesthesiologist, dated between
01.09.2015 and 01.11.2016 were retrospectively reviewed. Gender, height,
body weight, size of the intubation tube used, operation type and duration,
difficulties encountered during intubation, maneuvers or interventions applied
to overcome these difficulties and data of adverse side effects were evaluated.

Results: It was found that the nasotracheal intubation procedure was successful
at all 227 cases evaluated. It was also found that the size of intubation tubes
varied between 5.0 and 8.0, post-intubation bleeding occurred at 8 cases and
McCoy laryngoscope was used at 46 cases. It was also determined that in 14
cases, intubation tube could not be guided, therefore it was rotated to ¼,
being successful in 8 of these cases, whereas Magill forceps was required in 6
of these cases. 

Conclusion: We believe that thanks to careful preoperative
evaluation, right technique, and utilization of appropriate size nasotracheal
intubation tubes designed for this purpose, the nasotracheal intubation
procedure in all of the cases were successful, and complications were
minimized.

Keywords: Intubation, maxillofacial surgery

Keywords

Entübasyon

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