| Nasotracheal intubation: look before you leap. | |
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MedLine Citation:
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PMID: 15833776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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T Piepho; A Thierbach; C Werner |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2005-04-15 |
Journal Detail:
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Title: British journal of anaesthesia Volume: 94 ISSN: 0007-0912 ISO Abbreviation: Br J Anaesth Publication Date: 2005 Jun |
Date Detail:
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Created Date: 2005-05-09 Completed Date: 2005-06-21 Revised Date: 2005-09-23 |
Medline Journal Info:
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Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
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Languages: eng Pagination: 859-60 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Johannes Gutenberg-University, Langenbeckstrasse 1, Mainz 55131, Germany. Tim.Piepho@gmx.de |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Algorithms Epistaxis / etiology* Humans Intubation, Intratracheal / adverse effects*, methods Laryngoscopy Male Middle Aged Treatment Failure |
| Comments/Corrections | |
Comment In:
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Br J Anaesth. 2005 Sep;95(3):426-7
[PMID:
16076927
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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