Blind Nasotracheal Intubation

Blind nasotracheal intubation is an intubation method without observation of glottis that is used when the orotracheal intubation is difficult or impossible.

Blind nasotracheal intubation. One hundred thirty eight patients 92 were successfully intubated using this technique. Nasotracheal intubation is the commonest method used to induce anaesthesia in oral surgery patients. Blind awake nasotracheal intubation. Cerebrovascular accident 15 10.

Blind nasotracheal intubation can be one of the more technically demanding airway approaches with the outcome being heavily dependent on the skill and experience of the operator. The case for awake intubation. Blind intubation techniques are those methods of airway management that are done without visualization of the larynx or glottis. Cincotta fa neidorff c.

One of the methods to minimize trauma to the nasal cavity is to soften the endotracheal tube through warming. Sinclair jr mason ra. Head injury 36 24. Drug overdose 54 36.

Our aim in this study was to evaluate endotracheal intubation using endotracheal tubes softened by hot water at 50. Blind nasal intubation as an alternative to difficult intubation approaches hwanhee yoo jae moon choi jun young jo sukyung lee sung moon jeong department of anesthesiology and pain medicine asan medical center university of ulsan college of medicine seoul korea airway difficulties are a major concern for anesthesiologists. One must know the anatomy involved the pathway and procedure of intubation the pre anaesthetic medication and complications which may be seen at the time of intubation. Blind intubation in the conscious patient.

Congestive heart failure 11 7. Nti relies on listening to and feeling air movement whereas dti depends on the provider s ability. Middle east j anaesthesiol. And other 16 11.

Blind nasal intubation is the technique of intubation wherein a nasotracheal tube is passed into the trachea through the nose without visualization of the glottis with laryngoscope. Both blind nasotracheal intubation nti and digital tracheal intubation dti use indirect indicators of airway identification in lieu of direct vision laryngoscopy. It has a distinct advantage of providing good accessibility for oral surgical procedures. Nasotracheal intubation may be performed in patients undergoing maxillofacial surgery or dental procedures or when orotracheal intubation is not feasible eg patients with limited mouth opening.

Nasotracheal intubation see the video below used to be the preferred route for prolonged intubation in critical care units but nasal damage sin. This is an advanced method that can be carried out only in experienced and skilled hands especially like those of the anesthetists. The primary advantage of blind nasotracheal intubation is that it minimizes neck movement and does not require opening the mouth.