Nasotracheal tube obstruction from a central incisor

Kenney, Jeffrey N.; Laskin, Daniel M.

doi:10.1016/0030-4220(89)90350-2

Cited by 16 publications

(7 citation statements)

References 1 publication

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“…This method is also useful while operating on patients with respiratory insufficiency, patients who require long-term maintenance of the airway in the intensive care unit and patients in whom orotracheal intubation is difficult because of trismus. However, some complications associated with NTI include epistaxis [1, 2], bacteremia [3], retropharyngeal perforation [4], and partial or complete obstruction of the tube [5, 6]. NTI complications are some of the many causes of anesthesia-related mortality [7].…”

Section: Introductionmentioning

confidence: 99%

Comparison of disinfection effect between benzalkonium chloride and povidone iodine in nasotracheal intubation: a randomized trial

et al. 2019

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Background Nasotracheal intubation can potentially result in microbial contamination from the upper respiratory tract to the lower respiratory tracts. However, an ideal nasotracheal disinfection method is yet to be determined. Therefore, we compared the disinfection effects between benzalkonium chloride and povidone iodine in nasotracheal intubation. Methods Overall, this study enrolled 53 patients aged 20–70 years who were classified into classes 1 and 2 as per American Society of Anesthesiologists-physical status and were scheduled to undergo general anesthesia with NTI. Patients who did not give consent ( n = 2) and who has an allergy for BZK or PVI were excluded from the study. The patients were randomly divided into two groups on the basis of the disinfection method: BZK ( n = 26, one patient was discontinued intervention) and PVI ( n = 25). 50 patients were assessed finally. The subjects’ nasal cavities were swabbed both before (A) and after disinfection (B), and the internal surface of the endotracheal tube was swabbed after extubation (C). The swabs were cultured on Brain heart infusion agar and Mannitol salt agar. The number of bacteria per swab was determined and the rates of change in bacterial count (B/A, C/B) were calculated. The growth inhibitory activity of the disinfectants on Staphylococcus aureus were also investigated in vitro. Results Although the initial disinfection effects (B/A) were inferior for benzalkonium chloride compared with those for povidone iodine, the effects were sustained for benzalkonium chloride (C/B). In the in vitro growth inhibitory assay against S. aureus , benzalkonium chloride showed higher inhibitory activity than povidone iodine. Conclusion Although both disinfectants were inactivated or diffused/diluted over time, benzalkonium chloride maintained the threshold concentration and displayed antimicrobial effects longer than povidone iodine; therefore, benzalkonium chloride appeared to show a better sustained effect. Benzalkonium chloride can be used for creating a hygienic nasotracheal intubation environment with sustained sterilizing effects. Trial registration UMIN-CTR (Registration No. UMIN000029645 ). Registered 21 Oct 2017.

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Section: Introductionmentioning

confidence: 99%

Comparison of disinfection effect between benzalkonium chloride and povidone iodine in nasotracheal intubation: a randomized trial

et al. 2019

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“…Natal and neonatal teeth presenting extreme mobility due to immature root development are considered a high risk for aspiration [6] and were mentioned as candidates for extracted [7]. Luxation and subsequent aspiration of teeth may be associated with the use of a laryngoscope for endotracheal intubation [8, 9] or traumatic injuries [4].…”

Section: Introductionmentioning

confidence: 99%

Aspiration of an avulsed primary incisor. A case report

Holan

Ram

2000

Int J Paed Dentistry

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A 7-year-old girl had injured her maxillary primary incisors in a playground. One of the already-mobile incisors had been avulsed. The child who had a cough and breathing difficulties during sleep was diagnosed as suffering from upper respiratory infection and was treated with antibiotics. A few days later because her body temperature was elevated a chest radiograph was taken. The radiograph revealed an aspirated tooth in her right bronchus with atelectasis of the lower lobe. The tooth was removed by bronchoscopy. Dentists should suspect any tooth that has been avulsed and not found as possibly aspirated.

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“…Tooth aspiration has been reported as well 4 6 8 9 10 . Apart from trauma, there are other settings where tooth aspiration can occur including intraoral manipulation during general anaesthesia, adenotonsillectomy, and dental extraction [11][12][13] . Upper incisors contribute to 85% of aspirated teeth 14 which is consistent with this case.…”

Section: Discussionmentioning

confidence: 99%

Traumatic Tooth Aspiration: Case Report and Review of the Literature

Hasbani¹,

Assaker²,

Gamarra³

et al. 2019

IJCR

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In the setting of polytrauma, several foreign bodies could be aspirated, including avulsed teeth. Because a minimally responsive polytrauma patient could be at risk of airway compromise, emergency intubation is performed which can by itself lead to aspirated tooth. A complete dental examination is required to check for any fracture. A CT scan is the most sensitive modality for diagnosis. A rigid or flexible bronchoscopy is indicated for removal of the foreign bodies.

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Nasotracheal tube obstruction from a central incisor

Cited by 16 publications

References 1 publication

Comparison of disinfection effect between benzalkonium chloride and povidone iodine in nasotracheal intubation: a randomized trial

Comparison of disinfection effect between benzalkonium chloride and povidone iodine in nasotracheal intubation: a randomized trial

Aspiration of an avulsed primary incisor. A case report

Traumatic Tooth Aspiration: Case Report and Review of the Literature

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