scholarly journals USG for assessing nostril patency for successful nasotracheal intubation

2020 ◽  
Vol 24 (4) ◽  
Author(s):  
Teena Bansal ◽  
Jatin Lal
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Nasopharyngeal Airway ◽  
Fracture Mandible

A 45 year male was scheduled for reduction of fracture mandible. Mouth opening was 1 cm. So fibreoptic nasotracheal intubation was planned. Xylometazoline drops were instilled in the nostrils. Right nostril was more patent as compared to the left one. So a split nasopharyngeal airway size 7 mm was tried to be introduced through this nostril. But the attempt failed, so it was removed and blood was found on it reflecting trauma.

Department of Additional Information

1986 ◽  
Vol 7 (7) ◽  
pp. 222-222
Author(s):  
MARGARET A. KENNA
Keyword(s):  
Nasotracheal Intubation ◽  
Epstein Barr Virus Infection ◽  
Additional Information ◽  
Barr Virus ◽  
Nasopharyngeal Airway ◽  
Epstein Barr ◽  
Barr Virus Infection ◽  
The Many ◽  
Posterior Pharynx ◽  
Excellent Article

While reading the otherwise excellent article, "The Many Faces of Infectious Mononucleosis: The Spectrum of Epstein-Barr Virus Infection in Children" (Pediatrics in Review 1985;7:35-44), I noted that Dr Grose refers to the airway management of these children done at the Children's Hospital of Pittsburgh. Dr Snyderman's article to which Dr Grose refers (Pediatric Clinics of North America 1981;28:1011-1016), however, does not recommend nasotracheal intubation, as described by Dr Grose but, rather, placement of a nasopharyngeal airway. This tube does not enter the trachea between the vocal cords but, essentially, bypasses the enlarged adenoids and tonsils and rests in the posterior pharynx.

Comparative study of three videolaryngoscopes for nasotracheal intubation with restricted mouth opening: A manikin study

2011 ◽  
Vol 28 ◽  
pp. 237 ◽  
Author(s):  
R. Sanchez ◽  
Simon C. Añez ◽  
Parraga C. Ivars ◽  
Marques L. Santos ◽  
Gonzalvo V. Serrano ◽  
...  
Keyword(s):  
Comparative Study ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Manikin Study

scholarly journals Reducing Nasopharyngeal Trauma: The Urethral Catheter–Assisted Nasotracheal Intubation Technique

2011 ◽  
Vol 58 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Allen Wong ◽  
Paul Subar ◽  
Heidi Witherell ◽  
Konstantin J Ovodov
Keyword(s):  
Soft Tissues ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Urethral Catheter ◽  
Alternative Methods ◽  
Nasal Intubation ◽  
Intubation Technique ◽  
Invasive Approach ◽  
Dental Procedures ◽  
The Many

Nasal intubation is an advantageous approach for dental procedures performed in the hospital, ambulatory surgery center, or dental office, when possible. Although many who provide anesthesia services are familiar and comfortable with nasal intubation techniques, some are reluctant and uncomfortable because of lack of experience or fear of nasopharyngeal bleeding and trauma. It has been observed from experiences in various settings that many approaches may be adapted to the technique of achieving nasal intubation. The technique that is described in this paper suggests a minimally invasive approach that introduces the nasoendotracheal tube through the nasopharyngeal pathway to the oropharynx in an expedient manner while preserving the nasopharyngeal structures, thus lessening nasal bleeding and trauma to soft tissues. The technique uses a common urethral catheter and can be incorporated along with current intubation armamentaria. As with all techniques, some limitations to the approach have been identified and are described in this paper. Cases with limited mouth opening, neck injury, and difficult airways may necessitate alternative methods. However, the short learning curve along with the many benefits of this technique offers the anesthesia professional additional options for excellent patient care.

Nasotracheal intubation of a patient with restricted mouth opening using a McGrath MAC X-Blade and Magill forceps

2016 ◽  
Vol 30 (5) ◽  
pp. 904-906 ◽  
Author(s):  
Zehra İpek Arslan ◽  
P. Ozdal ◽  
D. Ozdamar ◽  
H. Agır ◽  
M. Solak
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Magill Forceps ◽  
Mcgrath Mac

scholarly journals BLIND NASOTRACHEAL INTUBATION

2006 ◽  
Vol 13 (04) ◽  
pp. 669-675
Author(s):  
ZAHID MEHMOOD CHEEMA ◽  
MANZAR ZAKARIA ◽  
NOMAN ALI MALIK
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Endotracheal Tube ◽  
Elective Surgery ◽  
Randomized Study ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Inhalational Anesthesia ◽  
Significant Difference ◽  
Group 2

Objective: Blind Nasotracheal Intubation (BNI) can be undertaken aftermuscle relaxation with Inj. Succinylcholine or under deep inhalational anesthesia. The objective of study was todetermine the preferred one of these 2 techniques of BNI. Design: Prospective, randomized study. Place andDuration of Study: PNS SHIFA, Karachi and AFID, Rawalpindi from May 2002 to April 2005. Subjects and Methods:Sixty patients between 10 - 40 years of age presenting for elective surgery in whom BNI was required due to limitedor no mouth opening were enrolled through convenient sampling. Patients were randomly divided into two groups:WMR (n=30) or NMR (n=30) to undergo BNI after relaxation with Succinylcholine or under inhalational anesthesia with2% Halothane, respectively. A red rubber nasal endotracheal tube (cuffed and un cuffed in adults and childrenrespectively) was used. Results: The frequency of successful BNI in WMR group was 100% and significantly higher(P=0.03) than in the NMR group (86%). Time to succeed was significantly less in the WMR group 2±0.9 minutes versus3.4±2.0 in the NMR group. There was no statistically significant difference of occurrence of adverse events in the twogroups. Conclusion: BNI with Succinylcholine produced a higher success rate. This technique can decrease failureto intubate, we speculate that it may, therefore, increase patient safety.

scholarly journals Adult fiberoptic bronchoscope assisted tracheal intubation in a child with extremely limited mouth opening

2015 ◽  
Vol 2 (2) ◽  
pp. 80-83
Author(s):  
Binay Kumar Biswas ◽  
Pratiti Choudhuri ◽  
Balkrishna Bhattarai ◽  
Bikash Agarwal
Keyword(s):  
Tracheal Intubation ◽  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Emergency Situation ◽  
Adult Size ◽  
Fiberoptic Bronchoscope ◽  
Difficult Situation ◽  
Pediatric Airway ◽  
Limited Mouth Opening ◽  
Joint Ankylosis

Tracheal intubation under vision in a child with extremely limited mouth opening requires the aid of pediatric fiberoptic bronchoscope. Often there can be only adult size bronchoscope in a center leading to a difficult situation when compromised pediatric airway requires stabilization. Aim of this case report is to describe the technique and feasibility of use of an adult fiberoptic bronchoscope for tracheal intubation of in child with extremely inadequate mouth opening unsuitable for conventional intubation. A 9-year-old boy with temporo-mandibular joint ankylosis was admitted for exploration of mastoid abscess under general anesthesia. In the absence of a pediatric fiberoptic bronchoscope we performed nasotracheal intubation of the child with the aid of an adult bronchoscope while maintaining spontaneous breathing with inhalational anesthetics. In remote locations, in centers with inadequate/nonworking equipments and in emergency situation where appropriate equipments are not available, adult fiberoptic bronchoscope may be helpful for tracheal intubation of pediatric patient.Journal of Society of Anesthesiologists of Nepal 2015; 2(2): 80-83

Fiberoptic Nasotracheal Intubation in Pediatric Patients with Difficult Mouth Opening: A case report

2002 ◽  
Vol 43 (6) ◽  
pp. 795
Author(s):  
Woo Chang Lee ◽  
Bon Nyeo Koo ◽  
Ki Jun Kim ◽  
Kyeong Tae Min ◽  
Wyun Kon Park ◽  
...  
Keyword(s):  
Case Report ◽  
Pediatric Patients ◽  
Nasotracheal Intubation ◽  
Mouth Opening

scholarly journals "Truview PCD-video laryngoscope aided nasotracheal intubation in case series of orofacial malignancy with limited mouth opening"

2015 ◽  
Vol 31 (2) ◽  
pp. 256 ◽  
Author(s):  
KalpanaRajendra Kulkarni ◽  
RajaramShankar Patil ◽  
SamratSukumar Madanaik ◽  
ArchitaRajaram Patil
Keyword(s):  
Nasotracheal Intubation ◽  
Mouth Opening ◽  
Case Series ◽  
Video Laryngoscope ◽  
Limited Mouth Opening
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