A two‐bougie technique for safer oro‐ to nasotracheal tube exchange in a difficult airway

Wadehra, Ashoo; Tandon, Monica; Ganjoo, Pragati

doi:10.1111/j.1365-2044.2010.06551.x

Cited by 2 publications

(2 citation statements)

References 3 publications

(7 reference statements)

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“…Others have espoused the idea of performing a tube change during the case from nasal to oral or oral to nasal depending on when during the procedure the desired cavity is to be addressed. 4,5 However, not only is this a time-consuming process, but also, it is a major inconvenience, usually requiring removing the drapes or breaking the sterile field, often with a surgical site open, and requiring reprepping and draping. In addition, it is not ideal for the anesthesiologist because the bed position may have changed and the site is now replete with surgical fluids or bleeding, and the airway maybe obscured from edema or repositioning of structures.…”

Section: Discussionmentioning

confidence: 99%

Novel Splint Allowing Concurrent Midface and Occlusal Control During Orotracheal Intubation

Chang

Steinbacher

2012

Journal of Craniofacial Surgery

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Occlusal splints are used in craniomaxillofacial surgery to control the dental-bearing bony structures of the midface and mandible. They are created to guide the mobile bone segments into position based on the ideal or planned dental and facial relationships. For conventional orthognathic cases and maxillofacial trauma scenarios involving the dentition, a nasal endotracheal tube is required, allowing the teeth to be closed into intermaxillary fixation. However, in situations where access to the nasal cavity is required, such as concurrent rhinoplasty, or when higher osteotomies involving the midface are performed requiring advancement or manipulation of the nasal region, the nasal tube needs to be converted into an oral tube (J Clin Anesth 2011;23:342). This requires time and inconvenience and is a potentially dangerous maneuver in the setting of existing surgical edema, fluids, and manipulation. We report on a novel oral splint design allowing for both intermaxillary fixation to be established using an oral endotracheal tube while allowing for manipulation of the midface via the nasal cavity and not requiring a tube change intraoperatively.

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Section: Discussionmentioning

confidence: 99%

Novel Splint Allowing Concurrent Midface and Occlusal Control During Orotracheal Intubation

Chang

Steinbacher

2012

Journal of Craniofacial Surgery

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“…Numerous techniques have been described to subsequently convert an oral ETT to a nasal ETT. [4][5][6][7][8][9][10][11][12] In 1995, Nakata and Niimi 4 described an oral to nasal ETT exchange with an ETT exchanger "connector" (Patil Two-Part Intubation Catheter; Cook, Bloomington, IN) which did not require direct visualization of the glottis during passage of the nasal ETT.…”

mentioning

confidence: 99%

Oral to Nasal Endotracheal Tube Exchange: Modification to Enable Wider Applicability of an “Old Connector” Technique—A Case Report

et al. 2023

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Nasotracheal intubation is an essential component of anesthetic management for intraoral and mandibular surgeries. Direct nasotracheal intubation can occasionally be difficult and require an initial oral endotracheal tube (ETT) placement with subsequent conversion to a nasal ETT. Numerous techniques have been described. However, execution can be challenging and limited by available resources. This report re-examines conventional oral to nasal ETT conversion techniques and describes another innovative approach utilizing equipment more readily available in the operating room or as an option when difficulty is encountered with conventional conversion techniques.

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A two‐bougie technique for safer oro‐ to nasotracheal tube exchange in a difficult airway

Cited by 2 publications

References 3 publications

Novel Splint Allowing Concurrent Midface and Occlusal Control During Orotracheal Intubation

Novel Splint Allowing Concurrent Midface and Occlusal Control During Orotracheal Intubation

Oral to Nasal Endotracheal Tube Exchange: Modification to Enable Wider Applicability of an “Old Connector” Technique—A Case Report

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