McGRATH^TM MAC，気管支ファイバースコープおよびチューブエクスチェンジャーを使用して経口から経鼻へ気管挿管経路を変更した顔面多発骨折患者の1例

抄録

  A patient with multiple facial traumas was orally intubated. Ten days after intubation, a change in the intubation route (from oral to nasal) was performed prior to surgery. Due to anticipated damage, contamination, and bleeding in the oral cavity, the procedure was performed using a video laryngoscope (McGRATH^TM MAC), a bronchial fiberscope, and a tube exchanger. The procedure was conducted under general anesthesia while preserving spontaneous breathing and was completed without a decrease in SpO₂. A detailed plan and careful procedure are important when changing the intubation route in cases with airway abnormalities.