Open AccessSuccessful nasotracheal intubation in a patient with distorted airway anatomy by combined use of flexible fiberoptic bronchoscope and trachway
Author(s) -
RenYeong Huang,
Che-Hao Hsu,
Yi-Shan Chuang,
Wai Hong Chan,
ChenHwan Cherng,
Chan-Yang Kuo
Publication year - 2014
Publication title -
yīxué yánjiū zázhì/journal of medical sciences
Language(s) - English
Resource type - Journals
eISSN - 2542-4939
pISSN - 1011-4564
DOI - 10.4103/1011-4564.131909
Subject(s) - stylet , nasotracheal intubation , medicine , epiglottis , airway , intubation , surgery , bronchoscopy , anesthesia , flexible bronchoscopy , larynx
Nasotracheal intubation for airway anatomy distorted patients is often frustrating. Here, we describe a redo oral cancer patient who received awake nasotracheal intubation under flexible fiberoptic bronchoscopy (FFB) guidance with assistance of the Trachway ® intubating stylet. After repeated failures of locating the epiglottis or vocal cords with the FFB, we put Trachway stylet into the oropharynx to assist identifying glottic structures. With the assistance of Trachway, glottic structures and the tip of FFB were identified, and fiberoptic intubation was achieved without complications. Therefore, this feasible application may be applied to patients with distorted airway who requires nasotracheal intubation