scholarly journals Pathway of the tracheal tube and complications of nasal intubation

2009 ◽  
Vol 102 (2) ◽  
pp. 282-283 ◽  
Author(s):  
F.S. Xue ◽  
X. Liao ◽  
Y.M. Zhang ◽  
J.E. Smith ◽  
J.L. Tong
2018 ◽  
Vol 65 (4) ◽  
pp. 259-260 ◽  
Author(s):  
Tsuyoshi Hoshi ◽  
Takashi Suzuki ◽  
Masayuki Somei ◽  
Takehiko Iijima ◽  
Yuka Kurihara

A 23-year-old healthy man was scheduled for extraction of his mandibular third molars under general anesthesia with nasotracheal intubation. Sudden sinus tachycardia up to 170 beats/min occurred when applying an epinephrine solution-soaked swab into the nasal cavity for preventing epistaxis during intubation. This was presumably evoked by submucosal migration of the swab into a false passage created because of the force applied during a prior failed attempt at nasal passage of the tracheal tube, and rapid epinephrine absorption by the traumatized mucosa. The causes of the unexpected severe tachycardia in our patient are discussed.


2016 ◽  
Vol 34 ◽  
pp. 255-256 ◽  
Author(s):  
Haruki Kido ◽  
Nobuyasu Komasawa ◽  
Junichi Ishio ◽  
Toshiaki Minami

2010 ◽  
Vol 57 (3) ◽  
pp. 112-113 ◽  
Author(s):  
Hirofumi Arisaka ◽  
Shigeki Sakuraba ◽  
Munetaka Furuya ◽  
Kazutoshi Higuchi ◽  
Hitoshi Yui ◽  
...  

Abstract Gum elastic bougie (GEB), a useful device for difficult airway management, has seldom been used for nasotracheal intubation. Among 632 patients undergoing dental procedures or oral surgery, GEB was used successfully in 16 patients in whom conventional nasal intubation had failed because of anatomical problems or maldirection of the tip of the tracheal tube. We recommend that GEB should be applied from the first attempt for nasal intubation in patients with difficult airways.


Anaesthesia ◽  
2001 ◽  
Vol 56 (11) ◽  
pp. 1116-1130
Author(s):  
S. Snyders
Keyword(s):  

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