Title: Nasogastric Tube as a Rescue Device for Difficult Nasal Intubation in Carcinoma Maxilla
Authors: Dr Geeta Ahlawat, Dr Kirti Kamal, Dr Savita Saini, Dr Priyanka Bansal
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.52
Abstract
Introduction: Oro-facial tumors with compromised airway require nasotracheal intubation due to difficult oral intubation as well as for better surgical access. Best option is fibrooptic bronchoscopy but fragile tumor mass is a concern and chances of epistaxis and bleed from tumour mass or nasal mucosa are increased.
Case Report: We present a case of Ca maxilla where we encountered a difficulty in negotiating the endotracheal tube through the nasal passage.
Conclusion: Use of nasogastric tube as a guide for nasotracheal intubation ensures an atraumatic, smooth passage of an ETT through the nasal passage.
References
- Lim CW, Min SW, Kim CS, Chang JE, Park JE, Hwang JY. The use of a nasogastric tube to facilitate nasotracheal intubation: A randomized controlled trial. Anaesthesia 2014;69:591-7.
- Enk D, Palmes AM, Aken HV, Westphal M. Nasotracheal intubation: A simple and effective technique to reduce nasophar-yngeal trauma and tube contamination. Anesth Analg 2002;95:1432-6.
- Ogle OE, Weinstock RJ, Friedman E. Surgical anatomy of the nasal cavity and paranasal sinuses. Oral and Maxillofacial Surgery Clinics of North America 2012; 24: 155–66.
- Gupta N, Gupta A, Garg R, Kumar V: Nasotracheal Intubation in Head and Neck Cancer Patients by Videolaryngoscope Using Cuff Inflation Technique. J Anaesth Crit Care 2017;7(4):1-2.
- Staar S, Biesler I, Müller D, Pförtner R, Mohr C. Nasotracheal intubation with three indirect laryngoscopes assisted by standard or modified Magill forceps. Anaesthesia 2013; 68(5): 467-71.