Open AccessIs Tube Thermosoftening Helpful for Videolaryngoscope-Guided Nasotracheal Intubation?:
Author(s) -
Eun Mi Kim,
Moon Sang Chung,
Mi Hyeon Lee,
Eun Mi Choi,
In-Jung Jun,
Tae Hyung Yun,
Yong Kuk Ko,
Jin Hwan Kim,
Joo Hyun Jun
Publication year - 2019
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1213/ane.0000000000003822
Subject(s) - medicine , cuff , forceps , anesthesia , nasotracheal intubation , nostril , intubation , nasal cavity , surgery , nose
Thermosoftening of the endotracheal tube (ETT) and telescoping the ETT into a rubber catheter have been suggested as a method for reducing epistaxis during nasotracheal intubation (NTI). However, thermosoftening technique is known to make it difficult to navigate the ETT into trachea without the use of Magill forceps during NTI. The cuff inflation technique has been suggested as an effective alternative to the use of Magill forceps to improve the oropharyngeal navigation of the ETT, irrespective of their stiffness, during direct laryngoscope-guided NTI. We evaluated whether thermosoftening of the ETT telescoped into rubber catheters has an additional benefit in reducing nasal injury. Simultaneously, we also evaluated whether thermosoftening of the ETT worsened orotracheal navigability during cuff inflation-supplemented videolaryngoscope-guided NTI.