{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:10:35Z","timestamp":1705623035538},"reference-count":5,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,1]]},"abstract":"<jats:p>We describe a case of massive epistaxis that occurred after removal of a nasal endotracheal tube, prompting emergent reintubation. Mask ventilation could not be performed because the nasal cavity was packed with gauze and the airway was being evacuated with a suction catheter. Therefore, instead of inhalational anesthetics and muscle relaxants, boluses of midazolam and remifentanil were administered, and reintubation was promptly performed. Sedation was maintained with dexmedetomidine infusion and midazolam. Nasal cautery was performed near the left sphenopalatine foramen. The patient was extubated without agitation or additional hemorrhage. Immediate recognition of the potential for airway loss, sufficient control of active bleeding, and drug selection in accordance with the emergent circumstances enabled prompt resecuring of the airway without pulmonary aspiration of blood.<\/jats:p>","DOI":"10.2344\/anpr-68-03-04","type":"journal-article","created":{"date-parts":[[2021,12,15]],"date-time":"2021-12-15T22:53:01Z","timestamp":1639608781000},"page":"235-237","source":"Crossref","is-referenced-by-count":0,"title":["A Case of Nasal Mucosa Cautery With Reintubation Under Pharyngeal Suction for Massive Epistaxis After Extubation"],"prefix":"10.2344","volume":"68","author":[{"given":"Yukiko","family":"Arai","sequence":"first","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akari","family":"Hasegawa","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aki","family":"Kameda","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saki","family":"Mitani","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Uchida","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yozo","family":"Manabe","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihiro","family":"Momota","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Osaka Dental University, Osaka, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","published-online":{"date-parts":[[2021,12,15]]},"reference":[{"key":"2022020119474144500_i0003-3006-68-4-235-b01","doi-asserted-by":"crossref","unstructured":"Ichimura\n              K.\n            \n          \n          Blood vessels and nerves in the nasal septum [in Japanese].\n\t\t\t\t\tJ Otolaryngol Jpn.\n\t\t\t\t\t1991;\n\t\t\t\t\t94:\n\t\t\t\t\t622\u2013\n\t\t\t\t\t625.","DOI":"10.3950\/jibiinkoka.94.622"},{"key":"2022020119474144500_i0003-3006-68-4-235-b02","unstructured":"Sugiyama\n              K.\n            \n          \n          Problems with nasal intubation in oral and maxillofacial surgery [in Japanese].\n\t\t\t\t\tAnn Kagoshima Dent.\n\t\t\t\t\t2016;\n\t\t\t\t\t36:\n\t\t\t\t\t3\u2013\n\t\t\t\t\t10."},{"key":"2022020119474144500_i0003-3006-68-4-235-b03","unstructured":"Ohchi\n              F,\n            \n            \n              Komasawa\n              N,\n            \n            \n              Kadono\n              N,\n            \n            \n              Minami\n              T.\n            \n          \n          A case of impossible ventilation after induction of anesthesia in a patient with massive nasal bleeding [in Japanese].\n\t\t\t\t\tMasui.\n\t\t\t\t\t2015;\n\t\t\t\t\t64:\n\t\t\t\t\t92\u2013\n\t\t\t\t\t94."},{"key":"2022020119474144500_i0003-3006-68-4-235-b04","unstructured":"Yagishiyata\n              K,\n            \n            \n              Tanaka\n              K,\n            \n            \n              Fukushima\n              M,\n            \n            et al.\n          \n          A case of difficult intubation by intra-oral bleeding in emergency operation [in Japanese].\n\t\t\t\t\tJ Jpn Dent Soc Anesthesiol.\n\t\t\t\t\t2012;\n\t\t\t\t\t40:\n\t\t\t\t\t56\u2013\n\t\t\t\t\t57."},{"key":"2022020119474144500_i0003-3006-68-4-235-b05","doi-asserted-by":"crossref","unstructured":"Hara\n              N.\n            \n          \n          Intraperative and postoperative use of dexmedetomidine [in Japanese].\n\t\t\t\t\tJ Jpn Soc Clin Anesth.\n\t\t\t\t\t2010;\n\t\t\t\t\t30:\n\t\t\t\t\t216\u2013\n\t\t\t\t\t223.","DOI":"10.2199\/jjsca.30.216"}],"container-title":["Anesthesia Progress"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/68\/4\/235\/3009234\/i0003-3006-68-4-235.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/68\/4\/235\/3009234\/i0003-3006-68-4-235.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T19:51:11Z","timestamp":1705607471000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/68\/4\/article-p235.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,1]]},"references-count":5,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,12,15]]},"published-print":{"date-parts":[[2021,12,1]]}},"URL":"https:\/\/doi.org\/10.2344\/anpr-68-03-04","relation":{},"ISSN":["1878-7177","0003-3006"],"issn-type":[{"value":"1878-7177","type":"electronic"},{"value":"0003-3006","type":"print"}],"subject":[],"published":{"date-parts":[[2021,12,1]]}}}