background: nasal intermittent positive pressure ventilation (nippv) is a non-invasive ventilatory mode, which delivers mechanical ventilation via nasal tubes or prongs. the present study was conducted to compare the efficacy of nippv and nasal continuous positive airway pressure ventilation (ncpap) in reducing the need for intubation in preterm infants with respiratory distress syndrome (rds)....

Nasogastric intubation has become a frequently used method for alleviating gastrointestinal symptoms. Necrosis from alar pressure during prolonged nasogastric and nasotracheal intubation is common, and can result in considerable deformity if it is unrecognized. The reconstruction of full-thickness alar wounds often requires multiple challenging surgical procedures. Difficult full-thickness alar...

BACKGROUND During nasotracheal intubation it is important to have proper pretreatment for nasal mucosa constriction and nasal cavity expanding. Nasal packing of epinephrine gauze is widely used as well as xylometazoline. The aim of this study was to compare and evaluate the efficacy of prophylactic intranasal spray of xylometazoline against epinephrine gauze packing in expanding the nasal cavit...

Introduction: Laryngeal mask airway (LMA) Fastrach was specially designed as a conduit for blind tracheal intubation in anticipated difficult airway and where we do not require neck extension. i-gel is a disposable, cheap supraglottic device with wide bore stem which facilitates direct passage of a conventional polyvinylchloride (PVC) endotracheal tube. Materials and Methods: A total of 80 adul...

Probing of the nasolacrimal duct is a common procedure in children with congenital stenosis. Although simple probing of the nasolacrimal duct is successful in a majority of patients, a number of failures occur. In those temporary intubation of the nasolacrimal duct with a silicone drain may solve the problem. We performed silicone intubation in 11 infants under nasal endoscopic control. By this...

OBJECTIVE This study aimed to compare intubation performance between blind intubation through supraglottic airway devices and direct laryngoscopy by novices under manikin simulation. We hypothesized that the intubation time by novices using supraglottic airway devices was superior to that with the Macintosh laryngoscope (MCL). METHODS A prospective, randomized crossover study was conducted wi...

Sir,—According to Alexopoulus, Larson and Lindholm (1983), the airway aerogram obtained with x-rays is easily identifiable along its anterior aspect, from the epiglottis to about 60 mm below the vocal chords. Based on this evidence, and to avoid problems arising from technical difficulties during blind nasotracheal intubation, we have successfully used an x-ray image intensifier to guide the in...

BACKGROUND One nostril must be selected for nasotracheal intubation. In some cases, structural anomalies within the nasal cavity hinder the insertion of the tube or complications, such as epistaxis, develop. This study examined the possibility of using radiography to select the nostril that would induce fewer complications. METHODS Four hundred and five patients who underwent nasotracheal int...

To evaluate the effect of apneic oxygenation with a nasal prong during fiberoptic orotracheal intubation (FOI) in fully relaxed patients, 46 patients, who underwent tympanomastoidectomy under general anesthesia whose intubation lasted more than 3 but less than 4 minutes, were studied. Changes of arterial oxygen tension (PaO2), arterial carbon dioxide tension (PaCO2) and vital signs were measure...