Nasal intubation
Last modified: 14 September 2023, 2:12:08 PM AEST
Indications1 / 4
- maxillofacial / ENT surgery
- FOI
- most direct route
- most comfortable if awake
Contraindications2 / 4
- base of skull fracture
- nasal fracture
- nasal tumour / mass
- coagulopathy
Risks / disadvantages3 / 4
- Difficult to suction (ICU)
- Length of tube may be inadequate = caution too short
- Disconnection of ETT adapters that aren't fused with ETT
- Removal connectors allow LMA to ETT exchange
Technique / description4 / 4
- anticipate difficult insertion
- esp with ETT hitting anterior laryngeal wall
- can flex head to assist passage
- McGills forceps not always required