title: Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation.
abstract: Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.
authors.affiliation: Department of Anesthesiology, Tri-Service General Hospital and National Defense Medical Center, No. 325, Section 2, Chenggung Road, Neihu, Taipei, 114 Taiwan, ROC. cherng1018@yahoo.com.tw
authors.forename: Chen-Hwan
authors.initials: CH
authors.lastname: Cherng
authors.forename: Yuan-Wu
authors.initials: YW
authors.lastname: Chen
mesh_terms: D000768:Anesthesia, General; D004844:Epistaxis / Q000209:etiology / Q000517:prevention & control; D005260:Female; D006801:Humans; D007440:Intubation / Q000009:adverse effects* / Q000295:instrumentation*; D008297:Male; D009062:Mouth Neoplasms / Q000601:surgery; D009296:Nasal Cavity / Q000293:injuries*; D003668:Pressure Ulcer / Q000517:prevention & control*
references.citation: J Oral Maxillofac Surg. 2009 Mar;67(3):543-51
references.pmid: 19231778
references.citation: Ir J Med Sci. 1994 Feb;163(2):58-60
references.pmid: 7515382
references.citation: Emerg Med Clin North Am. 1988 Nov;6(4):715-23
references.pmid: 3056707
references.citation: AJR Am J Roentgenol. 1976 Sep;127(3):433-4
references.pmid: 183529
references.citation: Chest. 1973 Sep;64(3):376-7
references.pmid: 4749391
references.citation: Anesthesiology. 1999 Jun;90(6):1782-4
references.pmid: 10360881
references.citation: Br J Oral Maxillofac Surg. 2007 Oct;45(7):601
references.pmid: 17412463