A modified lightwand-guided nasotracheal intubation technique for oromaxillofacial surgical patients

Nasotracheal intubation in patients with limited mouth opening: a comparison between fibreoptic intubation and the Trachway®

“…Use of a fibreoptic intubation technique is considered the 'gold standard' for difficult laryngoscopy [2]; however, the flexible portion of the fibrescope is easily damaged, expensive to repair and this in turn may lead to a decrease in its routine use [3,4]. Although a lightwand-guided nasotracheal intubation technique has been developed [5][6][7][8], this blind technique may cause tissue damage and is not useful if illumination is sub-optimal, for example in the obese or patients with short necks [9].…”

A modified technique for lightwand-guided nasotracheal intubation

“…We appreciate the thoughtful comments of Xue and colleagues regarding our study of a modified technique of lightwand-guided nasotracheal intubation [1]. We agree that the concept of a bright, well circumscribed circle of light on the cricothyroid membrane indicates correct positioning of the tube tip during lightwand-guided nasotracheal…”

“…We read with interest the recent article of Cheng et al [1], regarding a modified lightwand-guided nasotracheal intubation technique for oromaxillofacial surgical patients. In clinical practice, we often use the Trachlight TM (Laerdal Medical Corp., Wappingers Falls, NY, USA) to perform nasotracheal intubation in patients with normal and difficult airways, during anesthesia or in the awake state [2,3].…”

Nasotracheal intubation using the Blind Intubation Device in anaesthetised adults with Mallampati class 3

“…This is also true for an RAE tracheal tube which is longer than a lightwand. 5,6 It is critical in transillumination-guided NTI that the tip of the 'lighted introducer' should bypass the epiglottis and be elevated to the glottis inlet. 7 The Blind Intubation Device (BID, Anhui Xiao Shan Hygienic Material Co. Ltd, Ji Xi County, China) was designed with these considerations in mind.…”