Seldinger technique for nasal intubation: a case series.
Nasotracheal intubation can be both challenging and traumatic, especially in cases of atypical anatomy. We present a series of 3 such cases in which an endotracheal tube introducer (bougie) was used to facilitate successful, atraumatic, nasotracheal intubation via Seldinger technique. The technique described can guide a nasotracheal tube through narrow nasal passages, small pharyngeal spaces, and past acute laryngeal approach angles, all without transoral manipulation of the tube. The technique is easy to perform, uses a routine skill set, and can be advantageous in numerous clinical scenarios.
Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, IA.
Ron O
RO
Abrons
Department of Anesthesiology, University of Iowa Hospitals and Clinics, Iowa City, IA. Electronic address: ryan-vansickle@uiowa.edu.
Ryan A
RA
Vansickle
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Jean-Pierre P
JP
Ouanes
D000369:Aged, 80 and over; D000768:Anesthesia, General; D000779:Anesthetics, Local / Q000008:administration & dosage; D002675:Child, Preschool; D005927:Glossectomy / Q000009:adverse effects*; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods*; D020704:Laryngoscopes; D008012:Lidocaine / Q000008:administration & dosage; D054327:Lubricants / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000187:drug effects; D014663:Nasal Decongestants / Q000008:administration & dosage; D009297:Nasal Mucosa / Q000187:drug effects; D010109:Oxymetazoline / Q000008:administration & dosage; D019106:Postoperative Hemorrhage / Q000209:etiology*; D014059:Tongue / Q000601:surgery*
D000779:Anesthetics, Local; D054327:Lubricants; D014663:Nasal Decongestants; D010109:Oxymetazoline; D008012:Lidocaine
Bougie; Intubation; Magill forceps; Nasal