使用Duoderm作為保護墊以減少經鼻插管後鼻翼的疼痛

Duoderm As a Protective Material to Reduce Painful Nasal Ala After Nasotracheal Intubation

頭頸部手術通常需要全身麻醉以及經鼻放置氣管內管以便利手術部位容易探查。經鼻插管在臨床麻醉處置是一種安全且平常的技術。然而，也有一些特定的併發症會出現在經鼻插管中，像是鼻翼的壓瘡就偶而會被報導。它原本是長期置放鼻氣管內管的併發症，但也可能發生在手術後。這種傷害的嚴重皮及疼痛程度通常很小，且容易被臨床醫師忽略。在連個研究中，我們使用Duoderm當做一個保護的襯墊，避免氣管內管直接壓迫在鼻翼上，並且評估使用Duoderm對減少鼻翼疼痛的保護效益。

Patients scheduled for head and neck surgery needed general anesthesia with nasotracheal intubation to provide easy approach of surgical field. Nasotracheal intubation is a safe and common technique in anesthetic practice. However, nasal ala pressure sore has been occasionally reported with the use of this technique. It is more likely a complication of prolonged nasotracheal intubation and usually occurs postoperatively. The severity and pain of the injury were usually minor and were often ignored by physicians. In this study, we use Duoderm, a skin dressing helping to protect the wound against external contamination, as a cushion material from direct compression of right-angle endotracheal tube (RAET) to the nasal mucosa.