篇名 | Iatrogenic Foreign Body (Cotton Swab) in the Trachea after Nasotracheal Intubation |
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卷期 | 29:5 |
並列篇名 | 經鼻道氣管內插管所致之氣管內異物(棉纖) |
作者 | 洪煇期 、 徐永吉 、 汪志雄 、 蘇萬福 、 鄭澄寰 |
頁次 | 285-287 |
關鍵字 | Nasotracheal intubation 、 Foreign body-cotton swab 、 MEDLINE 、 Scopus |
出刊日期 | 200910 |
We describe our experience about a 3-inch cotton swab being misplaced in the trachea following nasotracheal intubation. A 67-year-old male patient was scheduled for oral cancer surgery. Before nasotracheal intubation, an oxymetazoline hydrochloride-soaked 3-inch cotton swab was inserted into right nostril for nasal mucosal vasoconstriction. Unpredictable difficult ventilation and intubation occurred during anesthesia induction and then fiberoptic bronchoscope-aided nasotracheal intubation was performed. The cotton swab was inconceivably found in the trachea by fiberoptic bronchoscope, and it was removed immediately by thoracic surgeon. This case demonstrates a near-miss complication during anesthesia induction. We discuss the factors which may contribute to this complication.