• Proc (Bayl Univ Med Cent) · Jan 2017

    Case Reports

    An approach for safe conversion of an oral endotracheal tube to a nasal endotracheal tube.

    • Michael Hofkamp and Zhiying Diao.
    • Baylor Scott & White Health, Temple, Texas (Hofkamp) and Baylor University, Waco, Texas (Diao).
    • Proc (Bayl Univ Med Cent). 2017 Jan 1; 30 (1): 83-84.

    AbstractWe present an approach for safe management of a patient with an oral endotracheal tube who required conversion to a nasal endotracheal tube. A 35-year-old man presented for mandibular fracture repair after multiple injuries sustained in a motor vehicle accident. The patient already had an oral endotracheal tube, and the surgical team requested a nasal endotracheal tube to facilitate surgical exposure and postoperative airway management in anticipation of a wired jaw. A nasal endotracheal tube was inserted through the naris and a video laryngoscope was used to visualize the glottis. A tracheal tube introducer was inserted through the oral endotracheal tube, and the oral endotracheal tube was then withdrawn approximately 5 cm. The nasal endotracheal tube was advanced through the vocal cords alongside the tracheal tube introducer. The nasal endotracheal tube cuff was then inflated and the tracheal tube introducer was withdrawn.

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