BACKGROUND The aim of this retrospective investigation was to evaluate the position of the nasotracheal tube in the nose and to show its anatomical relationship with the maxillary sinus ostium. METHODS Fifty data sets from patients who had undergone endonasal intubation were analyzed for tube positioning. There was a drop-out of eight data sets due to missing information concerning tube size ...

Awake intubation with fiberoptic bronchoscopy (FOB) is a popular technique in patients with difficult intubation criteria. Preservation of spontaneous respiration by nasotracheal intubation with FOB accompanied by sedation was performed in a case assessed as difficult intubation due to a high Mallampati score at preoperative evaluation and the presence of a mass extending to the oral cavity. Fo...

Background: A purposely designed wire reinforced silicone tube is available for tracheal intubation through intubating laryngeal mask airway (ILMA). However, this tube is expensive and not always available. Hence, cheaper and readily available alternatives such as conventional polyvinyl chloride (PVC) endotracheal tube should be evaluated for intubation through ILMA. Methods: After informed con...

Aims & Objective: Assessment of submental intubation as an intubation option for the facial trauma cases Material &Methods: 15 patients were intubated with submental approach in our institution during a one year time period from August 2009 to July 2010. Result: In our patients, submental intubation gave a better airway intubation for the reduction and fixation of all the facial fracture and in...

Traumatic brain injury (TBI) is usually combined with cervical spine (C-spine) injury. The possibility of C-spine injury is always considered when performing endotracheal intubation in these patients. Rapid sequence intubation is recommended with adequate sedative or analgesics and a muscle relaxant to prevent an increase in intracranial pressure during intubation in TBI patients. Normocapnia a...

Intermaxillary fixation (IMF) is an essential guide to optimize the reduction and fixation of most facial fractures associated with occlusal alterations. To allow IMF, nasotracheal intubation is used in most cases. When nasotracheal intubation is not possible, a tracheostomy may be indicated, but this carries significant morbidity. Submental endotracheal intubation allows IMF to be used without...

Anaesthesia in patients with an unstable atlanto-axial joint is fraught with hazards.' Manipulation of the neck during intubation may lead to considerable subluxation in both flexion and extension movements, with pressure from the vertebral body and the odontoid peg. This can significantly reduce the sagittal diameter of the cervical cord, with the possibility of transient or even permanent neu...