NAZOTRAKEAL ENTÜBASYON DENEYİMLERİMİZ

Amac: Bu yazida maksillofasiyal cerrahi olgularindaki nazotrakeal entubasyon deneyimlerimizi literatur bilgileri isiginda sunmayi amacladik. Gerec ve Yontem: 01.09.2015-01.11.2016 tarihleri arasinda genel anestezi altinda opere edilen  ve tek anestezi hekiminin nazotrakeal entubasyon uyguladigi olgularin anestezi kayitlari retrospektif olarak incelendi. Cinsiyet, boy, vucut agirligi, kullanilan nazotrakeal tuplerin numaralari, uygulanan operasyon ve operasyon sureleri, entubasyon sirasinda karsilan guclukler ve bu nedenle uygulanan manevralar ya da girisimler ile istenmeyen yan etkilere ait veriler degerlendirildi. Bulgular: Degerlendirilen 227 olgunun tumunun ba- sari ile entube edildigi saptandi. Kullanilan nazotrakeal tup numaralarinin 5.0 ile 8.0 arasinda oldugu, entubasyon sonrasi 8 olguda kanama gozlendigi, 46 olguda McCoy laringoskopu kullanildigi saptandi. 14 olguda nazotrakeal tupun yonlendirilemedigi bu nedenle nazotrakeal tupun ¼ oraninda donduruldugu, 8 olguda bu manevra ile basarili olundugu 6 olguda ise Magill forcepsi kullanilarak nazotrakeal entubasyonun gerceklestirildigi saptandi. Sonuc: Dikkatli bir preoperatif degerlendirme, dogru teknikle, uygun boyutta,  ozel  tasarlanmis nazotrakeal entubasyon tuplerini kullanarak olasi komplikasyonlari minimalize ettigimiz ve tum olgularda nazotrakeal entubasyonu basariyla gerceklestirdigimiz kanisindayiz. Anahtar Kelimeler: Entubasyon, 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