ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
|
|
|
|
Tongue Edema And Difficult Intubation: A Report Of Two Cases
Dr.Fuat GÜLDOĞUŞ*, Dr.Binnur SARIHASAN*, Dr.Zeynep ESENER*, Dr.Sibel BARIŞ*, Dr.Haydar ŞAHİNOĞLU*
*Dept. Of Anesthesiology Medical School of Ondokuz Mayıs University, SAMSUN
Two children, two and four years old, were diagnosed as complete cleft palate. In both cases using a mouth gag and tongue plate were placed and surgical repair was performed with bilateral mucoperiosteal flab technique under general anaesthesia. At the end of operation lasting approximately four hours, cases were extubated. But, tongue edema developed within the first thirty minutes. In the first case, it was not possible to establish an oral airway, because the tongue was markedly swollen. Airway was provided with nasal blind intubation while keeping spontaneous respiration. In the second case, edema was diagnosed earlier and oral intubation could be performed. Cases which were considered to have resulted from prolonged tongue compression, were given anti-edema treatment. Edema decreased to enable extubation on the postoperative fifth day in case one and on the seventh day in case two.
Keywords: Cleft lip, Cleft palate, Difficult intubation
Turkiye Klinikleri J Med Sci 1995, 15:276-278
|
|
|
|
|
