Seldinger technique for nasal intubation: a case series - 12/10/16
: Anesthesiology Resident, Jean-Pierre P. Ouanes, DO b : Assistant Professor of AnesthesiologyAbstract |
Nasotracheal intubation can be both challenging and traumatic, especially in cases of atypical anatomy. We present a series of 3 such cases in which an endotracheal tube introducer (bougie) was used to facilitate successful, atraumatic, nasotracheal intubation via Seldinger technique. The technique described can guide a nasotracheal tube through narrow nasal passages, small pharyngeal spaces, and past acute laryngeal approach angles, all without transoral manipulation of the tube. The technique is easy to perform, uses a routine skill set, and can be advantageous in numerous clinical scenarios.
Le texte complet de cet article est disponible en PDF.Highlights |
• | The nasal use of bougies can facilitate nasotracheal intubation. |
• | Nasopharyngeal airways can be used to guide bougies toward the glottis. |
• | Bougies facilitate the passage of nasotracheal tubes past the turbinates by centralizing the tube. |
• | Bougies can prevent impedance from the vocal cords or anterior trachea during nasotracheal intubation. |
Keywords : Bougie, Intubation, Magill forceps, Nasal
Plan
| ☆ | Disclosure: All 3 authors have no disclosures or conflicts of interest to report. |
Vol 34
P. 609-611 - novembre 2016 Retour au numéro
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