Neonatal nasotracheal intubation: an evaluation.
A retrospective review of 100 surviving infants, all requiring nasotracheal intubation in  the neonatal period for greater than 24 hr. was performed to assess the morbidity of this form  of airway management. Seventy infants needed only one intubation, 22 were intubated twice and 8 infants required 3 intubations. No infant had evidence of laryngeal or tracheal sequelae, either in the immediate newborn period or on follow-up. Nasotracheal intubation by an experienced practitioner with appropriate tube fixation and toilet coupled with the use of low pressure ventilation and a consistent extubation routine will result in very low long-term tracheal morbidity in the neonate.
D005069:Evaluation Studies as Topic; D006801:Humans; D006819:Hyaline Membrane Disease / Q000628:therapy; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000628:therapy*; D007442:Intubation, Intratracheal / Q000009:adverse effects*; D007830:Larynx / Q000293:injuries; D011014:Pneumonia / Q000628:therapy; D012131:Respiratory Insufficiency / Q000628:therapy; D012189:Retrospective Studies; D014132:Trachea / Q000293:injuries