Instrument Failure Led to Blind Nasal Intubation in Closed Mouth Patient

Airway management in the presence of closed mouth is challenging for anesthesiologists. Nasotracheal route is the only way for intubation in such situations. Routinely nasal intubation will be done under fibreoptic bronchoscope or light-aiding devices guidance. In the failure of such devices it could be done blindly. Here we report a closed mouth patient scheduled for pedicle division in second stage of Abbe Flap planed for nasal intubation under fibreoptic bronchoscope guidance. We encountered with unwanted instrument failure that lead to change in anesthesia plan using inhalation induction and blind nasal intubation. Thereby we highlighting the fact that blind nasal intubation is a forgotten art in modern education that could be helpful in management of airway in the absence of fibreoptic bronchoscope or light-aiding devices.