Ohio medicine : journal of the Ohio State Medical Association
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Ohio Med
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To examine the incidence of bacteremia associated with emergent nasotracheal intubation. ⋯ The risk of bacteremia associated with emergency nasotracheal intubation is substantial and is accompanied by organisms that may produce serious morbidity in the patient with valvular heart disease or compromised immunity. Our findings suggest that, whenever possible, the nasotracheal route should be avoided for emergency intubation in patients with valvular heart disease and if used, prophylactic antibiotics should be strongly considered.