A Simple Technique to Reduce Epistaxis and Nasopharyngeal Trauma During Nasotracheal Intubation in a Child with Factor IX Deficiency Having Dental Restoration

Delgado, A.V.; Sanders, John C.

doi:10.1213/01.ane.0000133914.26066.99

Cited by 21 publications

(15 citation statements)

References 22 publications

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“…Recently we read the letter published in the issue of July 2007 titled ‘What to do if the endotracheal tube will not pass through the nasal passage during fiberoptic nasotracheal intubation’ (1). I think it is very interesting, but it has been described widely by other authors before (2–4). There are other ways of improving awake fiberoptic nasotracheal intubation.…”

mentioning

confidence: 71%

Reply to ‘What to do if the endotracheal tube will not pass through the nasal passage during fiberoptic nasotracheal intubation’

Temiño¹,

Carrascosa²

2007

Acta Anaesthesiol Scand

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mentioning

confidence: 71%

Reply to ‘What to do if the endotracheal tube will not pass through the nasal passage during fiberoptic nasotracheal intubation’

Temiño¹,

Carrascosa²

2007

Acta Anaesthesiol Scand

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“…2) Insertion of a flexible atraumatic catheter through the nostril and into the nasopharynx before advancing the NTT over the catheter. This includes a pediatric tube exchanger, urinary catheter, esophageal stethoscope or a cut nasogastric tube (15)(16)(17)(18)(19)(20). The catheter can be advanced into the nasopharynx through a nasopharyngeal airway which can be removed prior to the passage of the NTT over the catheter.…”

Section: Discussionmentioning

confidence: 99%

Unanticipated Difficult Nasal Intubation Due to a Prominent Anterior Tubercle of the First Cervical Spine

Watton¹,

Hung²

2016

J Anesth Perioper Med

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Nasal intubation is frequently used for airway management in patients undergoing many surgical procedures. This is a case report of an unanticipated difficult nasal intubation due to a prominent anterior tubercle of the first cervical spine vertebra (C1) resulting in aspiration of blood and hypoxemia following intubation. The subsequent airway management of the rescheduled elective case is also described. The specific difficulties in securing the airway for nasal intubation are described as well as the management strategies to circumvent this anatomical variant. This case report will be of interest to health care practitioners providing airway management via the nasal route for different populations.

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“…A case report by Delgado and Sanders determined a pediatric patient with known factor IX deficiency was successfully nasally intubated with the red rubber catheter technique. No evidence of bleeding was reported, suggesting that the technique may be safe to use even in patients with known coagulopathy provided the method is carried out correctly [15].…”

Section: Summary Of the Literaturementioning

confidence: 99%

A Safer Technique for Nasal Intubation: A Literature Review

Lera¹,

Machan²,

Derefaka³

2017

OJAnes

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Nasotracheal intubation (NTI) is the most widely used method to establish an airway during anesthesia for oral surgery. It has the advantage of providing exceptional accessibility and optimal working conditions in the oral cavity for surgeons. Anesthesia providers are highly trained in managing and securing the airway. Because the oral intubation route is the most widely used technique for securing the airway, nasal intubation can be cumbersome for anesthetists who do not routinely perform this skill. Moreover, anesthesia providers who do not routinely perform NTI may feel apprehension out of concern for nasopharyngeal bleeding and trauma. The number of dental and oromaxillofacial procedures requiring nasal intubation has been steadily growing annually. Although NTI is generally safe, it still presents a risk for complications. The purpose of this literature review was to examine current literature and evidence-based practices of NTI to determine whether the use of a catheter-guided technique will improve patient care outcomes by way of decreased trauma to the airway compared to current clinical practices. The goal of this review is to recommend the use of a catheter-guided technique for NTI as the preferred method for securing the airway during oral surgery as it is less traumatizing to the airway than conventional methods.

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A Simple Technique to Reduce Epistaxis and Nasopharyngeal Trauma During Nasotracheal Intubation in a Child with Factor IX Deficiency Having Dental Restoration

Abstract: Epistaxis and airway trauma are often associated with nasotracheal intubation. We describe a patient with Factor IX deficiency who required nasotracheal intubation. An inexpensive, nonproprietary, rapid technique was used to reduce the trauma of intubation.

Cited by 21 publications

References 22 publications

Reply to ‘What to do if the endotracheal tube will not pass through the nasal passage during fiberoptic nasotracheal intubation’

Reply to ‘What to do if the endotracheal tube will not pass through the nasal passage during fiberoptic nasotracheal intubation’

Unanticipated Difficult Nasal Intubation Due to a Prominent Anterior Tubercle of the First Cervical Spine

A Safer Technique for Nasal Intubation: A Literature Review

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