A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery

Yuko Koyanagi; Eiko Yokota; Marina Iwata; Ritsuko Shimazaki; Toru Misaki; Yoshiyuki Oi

doi:10.2344/anpr-67-02-01

A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery

Anesth Prog. 2020 Sep 1;67(3):174-176. doi: 10.2344/anpr-67-02-01.

Authors

Yuko Koyanagi¹, Eiko Yokota¹, Marina Iwata¹, Ritsuko Shimazaki¹, Toru Misaki¹, Yoshiyuki Oi¹

Affiliation

¹ Department of Anesthesiology, Nihon University School of Dentistry, Tokyo, Japan.

Abstract

A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. The removed endotracheal tube was torn 19 cm from the distal tip. The McGrath MAC was useful for visualizing the glottis and confirming the entire course of the tube exchange despite the patient's having a difficult airway (Cormack-Lehane grade 3).

Keywords: McGrath MAC; Oral surgery; Tracheal tube exchange; Tube damage.

Publication types

Case Reports

MeSH terms

Glottis
Humans
Intubation, Intratracheal
Laryngoscopes*
Laryngoscopy
Oral Surgical Procedures*
Video Recording