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Acta Anaesthesiol Taiwan · Sep 2011
Case ReportsModified glove fingers as an aid for safely navigating endotracheal tube through the nasal cavity and nasopharynx in difficult nasotracheal intubation.
- Chiung-Tan Hsu, Chih-Kai Shih, Siu-Wah Chau, Kuang-Yi Tseng, Mao-Kai Chen, and Kuang-I Cheng.
- Department of Anesthesiology, Kaohsiung Medical University Hospital, Kaohsiung City, Taiwan, R.O.C.
- Acta Anaesthesiol Taiwan. 2011 Sep 1;49(3):119-21.
AbstractA young female patient scheduled for orthognathic surgery under general anesthesia encountered obstacles during nasotracheal intubation in which the cuff of the nasal endotracheal tube was linearly lacerated and the tube tip impacted against the retropharyngeal wall. Repeated episodes of the event happened rendering the intubation unsuccessful. A technique using modified glove fingers was applied, which successfully protected the cuff from shearing by the sharp nasal crista and redirected the tube tip away from the retropharyngeal wall. It is a simple and applicable technique during nasotracheal intubation to prevent cuff damage and potential retropharyngeal dissection.Copyright © 2011. Published by Elsevier B.V.
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