Submental intubation – et alternativ til trakeostomi ved omfattende mellemansigtstraumer
Submental intubation er en sikker procedure som kan bruges som alternativ til trakeostomi hos udvalgte patienter, især hvor det drejer sig om omfattende mellemansigtstraumer. Ved at føre den endotrakeale tube ud igennem mundbunden sikres både fri luftvej og tilgængeligt arbejdsfelt. Et evt. ar vil være skjult under mandiblen. Komplikationer i forbindelse med submental intubation er begrænsede.
Submental intubation as an alternative to tracheostomy in patients with midfacial trauma: Submental intubation is a safe procedure which can be used instead of tracheostomy in selected cases, especially on patients with extensive midfacial trauma. By passing the endotrachial tube through the floor of the mouth, the free airway is secured and the operating field is kept clear. Any scar formation will be consealed under the mandible. Complications during or after submental intubation are rare. It is our belief that submental intubation should be chosen instead of tracheostomy whenever possible.