Which is an advantage of Nasotracheal intubation?
Nasotracheal intubation has several advantages as it is easier to secure; moves less, if secured properly; lesser risk of trauma to lips, tongue and larynx; lesser chances of unplanned extubation; more patient comfort; and possibly lower rate of post-extubation airway obstruction (PEAO) (1, 2).
What is Nasotracheal intubation?
Nasotracheal intubation (NTI) involves passing an endotracheal tube through the naris, into the nasopharynx, and the trachea, most commonly after induction of general anesthesia in the operating room.
What is a contraindication for Nasotracheal intubation?
Nasotracheal intubation is contraindicated in patients with apnea, severe facial or maxillofacial fractures, basilar skull fractures, head injury with an elevated intracranial pressure, recent nasal surgery, nasal or nasopharyngeal obstruction (nasal polyps), patients receiving thrombolytics or parenteral …
What is a disadvantage of a nasopharyngeal airway?
Complications of use Epistaxis. Gagging, vomiting, aspiration. Intracranial insertion. Failure of airway due to obstruction. Ulceration with long term use.
What are the different types of intubation?
The following are some types of intubation that can occur:
- Endotracheal intubation- This is broad term that encompasses a tube going from the oropharynx to the trachea.
- Orogastric intubation.
- Nasogastric intubation.
- Fiberoptic intubation.
- Surgical Airway.
What is Nasotracheal suctioning?
BACKGROUND: Nasotracheal suctioning (NTS) is accomplished by inserting a suction catheter into the trachea through the nasopharynx. It is a useful procedure in critically ill patients whose ability to cough and mobilize secretions is impaired.
What is the difference between orotracheal intubation and endotracheal intubation?
The most widely used route is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea.
How do you do Nasotracheal intubation?
With gentle, steady pressure, insert the tube directed towards the occipital protuberance on the back of the skull with the bevel turned towards the nasal septum. If the tube will not pass on one side, try the other. Some resistance may be encountered when the tube reaches the posterior nasopharynx.
Which tracheal tube is used for nasotracheal intubation?
A silicone-based wire-reinforced tracheal tube with a hemispherical bevel reduces nasal morbidity for nasotracheal intubation. Anesth Analg.
What is the difference between nasal and oral endotracheal tubes?
Oral endotracheal tubes are designed to enter through the mouth and end just past the vocal cords in the trachea. Nasal endotracheal tubes are designed to enter through the nose and end in the trachea. The lubricated nasotracheal tube is placed into a nostril and gently advanced into the nasopharynx (Fig. 31.17).
What happens if a nasotracheal cuff leaks during intubation?
If a cuff leak is noted after the intubation, the nasotracheal tube can be either exchanged over a guidewire, or a temporary throat pack is placed to seal off the leak. Special care is taken when nasally intubating patients with a history of a pharyngeal flap.
What is the most common complication of nasotracheal intubation?
Retropharyngeal perforation [38] may be a more common complication of nasotracheal intubation than realized. The major technical error is failure to appreciate that loss of flow of air from the tube, once the tube has passed the turbinates, means that the lumen of the tube is abutting the pharyngeal mucosa.