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Neonatal nasotracheal intubation: An evaluation
Author(s) -
Stewart A. R.,
Finer N. N.,
Moriartey R. R.,
Ulan O. A.
Publication year - 1980
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198005000-00012
Subject(s) - nasotracheal intubation , medicine , intubation , anesthesia , tracheal intubation , airway , tracheal tube , mechanical ventilation , ventilation (architecture) , surgery , mechanical engineering , engineering
A retrospective review of 100 surviving infants, all requiring nasotracheal intubation in the neonatal period for greater than 24 hr. was performed to assess the morbidity of this form of airway management. Seventy infants needed only one intubation, 22 were intubated twice and 8 infants required 3 intubations. No infant had evidence of laryngeal or tracheal sequelae, either in the immediate newborn period or on follow‐up. Nasotracheal intubation by an experienced practitioner with appropriate tube fixation and toilet coupled with the use of low pressure ventilation and a consistent extubation routine will result in very low long‐term tracheal morbidity in the neonate.