Articles: intubation.
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A method is presented for the endoscopic intubation of malignant tumors of the trachea and main bronchi with a Souttar tube. This is appropriate when urgent relief of respiratory obstruction is necessary and when the tumor is unsuitable for resection. ⋯ The method failed in one patient. There were no operative deaths.
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Three hundred consecutive patients in whom nasotracheal intubation was selected as the method of airway management were prospectively evaluated for success and safety. The intubations were performed in the emergency department by 19 emergency medicine residents and staff. The success rate was 92% when performed "blindly" without Magill forceps. ⋯ In the 242 survivors, there was no significant or permanent laryngeal damage. The technique, indications, contraindications, advantages, disadvantages, and complications of nasotracheal intubation and translaryngeal anesthesia are reviewed. Nasotracheal intubation is an essential skill allowing a flexible approach to airway management.