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J Dent Anesth Pain Med. 2017 Sep;17(3):219-223. doi: 10.17245/jdapm.2017.17.3.219. Epub 2017 Sep 25.

Fiberoptic bronchoscope and C-MAC video laryngoscope assisted nasal-oral tube exchange: two case reports.

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Department of Anesthesiology and Pain Medicine, Dankook University College of Medicine, Cheonan, Korea.
Department of Oral and Maxillofacial Surgery, Dankook University College of Dentistry, Cheonan, Korea.


In cases of multiple facial trauma and other specific cases, the anesthesiologist may be asked to convert an oral endotracheal tube to a nasal endotracheal tube or vice versa. Conventionally, the patient is simply extubated and the endotracheal tube is re-inserted along either the oral or nasal route. However, the task of airway management can become difficult due to surgical trauma or worsening of the airway condition. Fiberoptic bronchoscopy was considered a novel method of airway conversion but this method is not useful when there are secretions and bleeding in the airway, or if the anesthesiologist is inexperienced in using this device. We report a successful airway conversion under the aid of both, a fiberoptic bronchoscope and a C-MAC video laryngoscope.


Airway Management; Bronchoscopy; Intratracheal Intubation

Conflict of interest statement

Notes: There are no financial or other issues that might lead to conflict of interest.

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