An alternative method of oral to nasal endotracheal intubation in patients undergoing maxillofacial surgery

Authors: HASAN KUTLUK PAMPAL, METİN ALKAN, CENGİZ BEKİR DEMİREL, GÖKÇEN EMMEZ, NURDAN BEDİRLİ

Abstract: Patients undergoing maxillofacial surgery frequently require nasal intubation. Although awake fiberoptic intubation is the procedure of choice, a fiberoptic bronchoscope (FOB) may not be available in all clinics. Furthermore, the procedure itself requires skill and experience, and cannot be used when the view is obstructed by bleeding or secretions. Herein we describe 3 patients in whom oral to nasal endotracheal tube exchange was accomplished with the aid of a nasogastric tube after placement of an LMA CTrachTM, as no FOB was available.

Keywords: Maxillofacial surgery, nasal intubation, endotracheal tube exchange

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