Indian Journal of Anaesthesia

CASE REPORT
Year
: 2014  |  Volume : 58  |  Issue : 1  |  Page : 48--50

A novel method using Seldinger«SQ»s technique for submental intubation in major craniomaxillofacial fractures: A case series


Shaik Mastan Saheb1, Vemuri Nagendra Nath1, K Phani Kumar2, Pilli Parama Geetha Padmaja1 
1 Department of Anaesthesiology, NRI Academy of Sciences, Guntur, Andhra Pradesh, India
2 Department of Oralmaxillofacial Surgery, NRI Academy of Sciences, Guntur, Andhra Pradesh, India

Correspondence Address:
Shaik Mastan Saheb
3-1-13, NRI Staff Quarters, NRI Academy of Sciences, Guntur, Andhra Pradesh
India

Airway management is a challenge to anesthesiologists particularly in maxillofacial surgeries. The oral tracheal tube is unsuitable because it interferes with the surgical field and prevents dental occlusion. Nasotracheal intubation may not always be possible due to structural deformity or trauma to the nasal bones. Tracheostomy and submental intubation have their drawbacks. To overcome these shortcomings we used Percutaneous Dilatational Tracheostomy Kit (PDTK) to modify the technique of submental intubation. Serial dilatations were performed over the guide wire before passing the tracheal tube by submental route, using the PDT kit in four patients. Submental intubation could be achieved in all the four cases with this technique and there were no associated complications. Seldinger«SQ»s technique is a simple and easy technique with minimal bleeding, imperceptible scar, and more importantly anesthesiologists feel more comfortable because of their familiarity with the Seldinger technique.


How to cite this article:
Saheb SM, Nath VN, Kumar K P, Padmaja PG. A novel method using Seldinger's technique for submental intubation in major craniomaxillofacial fractures: A case series.Indian J Anaesth 2014;58:48-50


How to cite this URL:
Saheb SM, Nath VN, Kumar K P, Padmaja PG. A novel method using Seldinger's technique for submental intubation in major craniomaxillofacial fractures: A case series. Indian J Anaesth [serial online] 2014 [cited 2020 Nov 28 ];58:48-50
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2014;volume=58;issue=1;spage=48;epage=50;aulast=Saheb;type=0