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- Brittany J McDowell and Sonal Sharma.
- From the Mountain West Anesthesia, Department of Anesthesiology, Intermountain Medical Center, Murray, Utah.
- A A Pract. 2023 Jan 1; 17 (1): e01657e01657.
AbstractSystemic anticoagulation is a relative contraindication for performing nasal intubation due to the risk of hazardous bleeding. However, nasal intubation may sometimes be the only way to facilitate surgical exposure. There are currently no recommendations in the literature to safely perform nasal intubation in anticoagulated patients. This case series describes 4 patients, all receiving systemic anticoagulation for carotid endarterectomy, who received nasal intubation using a telescoping approach. None of them had any epistaxis. Telescoping the endotracheal tube using a red rubber catheter may be an effective and safe method for nasal intubation when there is a high risk of epistaxis.Copyright © 2023 International Anesthesia Research Society.
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