“…Uria et al 1 , and we agree with their assessment that it is important to perform a preliminary laryngoscopy prior to inserting a nasal tube. However, their recommendation to insert a bougie through the RAE® nasal tube, with its distal acute curve, can result in inappropriate bending of the distal portion which is unfavourable to insertion of the bougie into the laryngeal aperture.…”
Section: Nasotracheal Intubation In Patients With An Unanticipated DIsupporting
“…Uria et al 1 , and we agree with their assessment that it is important to perform a preliminary laryngoscopy prior to inserting a nasal tube. However, their recommendation to insert a bougie through the RAE® nasal tube, with its distal acute curve, can result in inappropriate bending of the distal portion which is unfavourable to insertion of the bougie into the laryngeal aperture.…”
Section: Nasotracheal Intubation In Patients With An Unanticipated DIsupporting
“…Several devices and techniques have been described for oro-to naso tracheal tube exchange, such as a tracheal tube exchanger, gum-elastic bougie and flexible fibreoptic bronchoscope [1][2][3]. However, these techniques have disadvantages such as a difficult technique, complex equipment and most importantly, potential for loss of airway control on removal of the oral tube.…”
Section: Anaesthesia ó 2010 the Association Of Anaesthetists Of Greatmentioning
confidence: 99%
“…Tracheal extubation may provoke harmful cardiovascular and respiratory complications, such as arterial and venous hypertension, myocardial ischaemia, coughing and straining [2]. We wished to reduce the risks of surgical site bleeding resulting from such pressure changes.…”
Section: Anaesthesia ó 2010 the Association Of Anaesthetists Of Greatmentioning
confidence: 99%
“…However, an air ⁄ saline interface within the system can cause an airlock [1,2]. An airlock can compromise this test if the filter is connected before the aspiration test is performed.…”
mentioning
confidence: 99%
“…There is a considerable risk of loss of airway control during an oro-to nasotracheal tube exchange in a patient with a difficult airway. Various techniques have been described to negotiate this potentially life-threatening situation safely [1][2][3]. We describe a simple and effective two-bougie technique, which facilitated a safe oro-to nasotracheal tube exchange, in a patient with a known difficult airway.…”
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