Document Detail

Nasotracheal intubation: look before you leap.
MedLine Citation:
PMID:  15833776     Owner:  NLM     Status:  MEDLINE    
Nasotracheal intubation is frequently used for airway management during maxillofacial surgery. Complications such as haemorrhage occur more frequently with this route of intubation than with the orotracheal route. This case report describes a male patient aged 51 yr who developed severe epistaxis after the tube had passed the nares. As an additional complication laryngoscopy and endotracheal intubation failed because of difficult airway (Cormack-Lehane grade 4). Attempts using an intubating laryngeal mask airway and a Bonfils intubating fibrescope did not succeed. The airway was finally managed by cricothyroidotomy. A modified sequence of nasotracheal intubation is proposed to avoid similar life-threatening complications.
T Piepho; A Thierbach; C Werner
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2005-04-15
Journal Detail:
Title:  British journal of anaesthesia     Volume:  94     ISSN:  0007-0912     ISO Abbreviation:  Br J Anaesth     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-05-09     Completed Date:  2005-06-21     Revised Date:  2005-09-23    
Medline Journal Info:
Nlm Unique ID:  0372541     Medline TA:  Br J Anaesth     Country:  England    
Other Details:
Languages:  eng     Pagination:  859-60     Citation Subset:  IM    
Department of Anesthesiology, Johannes Gutenberg-University, Langenbeckstrasse 1, Mainz 55131, Germany.
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MeSH Terms
Epistaxis / etiology*
Intubation, Intratracheal / adverse effects*,  methods
Middle Aged
Treatment Failure
Comment In:
Br J Anaesth. 2005 Sep;95(3):426-7   [PMID:  16076927 ]

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