Nasal Retrograde Intubation in Oromaxillofacial Surgery Patients with Limited Mouth Opening: A Cross-sectional Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 3
Abstract
Introduction: Retrograde intubation is an alternative technique of securing definitive airway in the patients with limited mouth opening (LMO) when blind nasal intubation fails, and fiber-optic bronchoscope is unavailable. Retrograde intubation in patients with LMO <2 cm through nasal route is an alternative method for airway management. Materials and Methods: The procedure was performed on 36 patients requiring maxillofacial surgical procedures to increase mouth opening. Indication for this technique was oral mucous fibrosis (OSMF; n = 12), temporomandibular joint (TMJ) ankylosis (n = 8), mandibular fracture (n = 12), and derangement of TMJ (n = 4). All patients were examined for pre-operative interincisal opening; during intubation through specific parameters and also post-operative findings were observed. Results: The mean time was 5.6 min in successfully intubated patients. Eight patients had sore throat which resolved in few days and two patients had subcutaneous emphysema managed conservatively. No other complications were detected. Conclusion: Retrograde nasotracheal intubation is an effective and useful technique for airway management in LMO patients with minimal risk.
Authors and Affiliations
Ambrish Kumar
Keywords
Related Articles
- EP ID EP479853
- DOI -
- Views 126
- Downloads 0
A Prospective Study of Esophageal Variceal Recurrence and Rebleed Rates after Primary Eradication
Introduction: Variceal bleeding is a life-threatening complication of portal hypertension with a high probability of recurrence. Treatment to prevent first bleeding or rebleeding is mandatory. Aim: The aim of this study...
Drug Utilization Pattern in Ophthalmology: A Observational and Cross-sectional Study
Aim: To study the current prescribing and drug utilization pattern in Ophthalmology Department. Materials and Methods: Observational and cross-sectional study was conducted in the Department of Ophthalmology, Acharya Shr...
Recurrent Seizures in Stroke and Anatomical Correlation: A Prospective Study
Introduction: Stroke is one of the most common causes of seizures in the elderly and seizures are among the most common neurological sequelae of stroke. Seizures can occur at the onset or may follow strokes. Aim: To stud...
Surgical Pleth Index: Do we need to know more
The primary responsibility of anesthesiologist is to protect the patients from the surgical stress of surgery with balanced anesthesia, i.e. triad of hypnosis, analgesia, and muscle relaxation. In modern medicine, with s...
Is Circumferential Assessment of Colonic Carcinoma by Computed Tomography Scan and Colonography enough to Predict the Staging?
Background: The modern treatment of rectal cancer relies on correct diagnosis which is a multidisciplinary approach by medical oncologists, radiation therapists, endoscopists, radiologists, and surgeons. Based on their d...