Ryles tube-guided difficult nasal intubation
Rationale: Nasal intubation is an inevitable procedure in head and neck and oral cavity surgeries. Most of these patients usually present with distorted oral and nasal anatomy. Patient Concerns: The distorted anatomy in these patients makes their airway difficult and there are high chances of nasal...
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Language: | English |
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Wolters Kluwer Medknow Publications
2022
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Online Access: | https://doi.org/10.4103/hmj.hmj_23_22 https://doaj.org/article/642b6cb315a54079877a7204d3f6365d |
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ftdoajarticles:oai:doaj.org/article:642b6cb315a54079877a7204d3f6365d 2023-05-15T17:39:42+02:00 Ryles tube-guided difficult nasal intubation K Bineetha Deepak C Koli Tapas Mandal Hemant H Mehta 2022-01-01T00:00:00Z https://doi.org/10.4103/hmj.hmj_23_22 https://doaj.org/article/642b6cb315a54079877a7204d3f6365d EN eng Wolters Kluwer Medknow Publications http://www.hamdanjournal.org/article.asp?issn=2227-2437;year=2022;volume=15;issue=2;spage=108;epage=111;aulast=Bineetha https://doaj.org/toc/2227-2437 https://doaj.org/toc/2227-247X 2227-2437 2227-247X doi:10.4103/hmj.hmj_23_22 https://doaj.org/article/642b6cb315a54079877a7204d3f6365d Hamdan Medical Journal, Vol 15, Iss 2, Pp 108-111 (2022) difficult nasotracheal intubation ryle's tube tmj ankylosis video laryngoscope Medicine R article 2022 ftdoajarticles https://doi.org/10.4103/hmj.hmj_23_22 2022-12-31T00:23:31Z Rationale: Nasal intubation is an inevitable procedure in head and neck and oral cavity surgeries. Most of these patients usually present with distorted oral and nasal anatomy. Patient Concerns: The distorted anatomy in these patients makes their airway difficult and there are high chances of nasal bleed while securing the airway nasally. Diagnosis: Ryle's tube guided nasal intubation in a patient with temporomandibular joint derangement posted for bilateral temporomandibular joint arthrocentesis. Interventions: After induction of anaesthesia, we faced difficulty in passing North Pole tube via nasal passage, hence we rail roaded the North Pole tube over a Ryle's tube and successfully secured the airway. Outcomes: This innovative method helped us to secure the airway in this patient. Lessons: This simple technique of using a Ryle's tube as an aid for nasal intubation provides an alternate technique for difficult nasal intubation. Although it may not be the first choice for nasal intubation, this technique can be used as an alternative method in case, the tube could not be negotiated through the nasal passage. Article in Journal/Newspaper North Pole Directory of Open Access Journals: DOAJ Articles North Pole Hamdan Medical Journal 15 2 108 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
difficult nasotracheal intubation ryle's tube tmj ankylosis video laryngoscope Medicine R |
spellingShingle |
difficult nasotracheal intubation ryle's tube tmj ankylosis video laryngoscope Medicine R K Bineetha Deepak C Koli Tapas Mandal Hemant H Mehta Ryles tube-guided difficult nasal intubation |
topic_facet |
difficult nasotracheal intubation ryle's tube tmj ankylosis video laryngoscope Medicine R |
description |
Rationale: Nasal intubation is an inevitable procedure in head and neck and oral cavity surgeries. Most of these patients usually present with distorted oral and nasal anatomy. Patient Concerns: The distorted anatomy in these patients makes their airway difficult and there are high chances of nasal bleed while securing the airway nasally. Diagnosis: Ryle's tube guided nasal intubation in a patient with temporomandibular joint derangement posted for bilateral temporomandibular joint arthrocentesis. Interventions: After induction of anaesthesia, we faced difficulty in passing North Pole tube via nasal passage, hence we rail roaded the North Pole tube over a Ryle's tube and successfully secured the airway. Outcomes: This innovative method helped us to secure the airway in this patient. Lessons: This simple technique of using a Ryle's tube as an aid for nasal intubation provides an alternate technique for difficult nasal intubation. Although it may not be the first choice for nasal intubation, this technique can be used as an alternative method in case, the tube could not be negotiated through the nasal passage. |
format |
Article in Journal/Newspaper |
author |
K Bineetha Deepak C Koli Tapas Mandal Hemant H Mehta |
author_facet |
K Bineetha Deepak C Koli Tapas Mandal Hemant H Mehta |
author_sort |
K Bineetha |
title |
Ryles tube-guided difficult nasal intubation |
title_short |
Ryles tube-guided difficult nasal intubation |
title_full |
Ryles tube-guided difficult nasal intubation |
title_fullStr |
Ryles tube-guided difficult nasal intubation |
title_full_unstemmed |
Ryles tube-guided difficult nasal intubation |
title_sort |
ryles tube-guided difficult nasal intubation |
publisher |
Wolters Kluwer Medknow Publications |
publishDate |
2022 |
url |
https://doi.org/10.4103/hmj.hmj_23_22 https://doaj.org/article/642b6cb315a54079877a7204d3f6365d |
geographic |
North Pole |
geographic_facet |
North Pole |
genre |
North Pole |
genre_facet |
North Pole |
op_source |
Hamdan Medical Journal, Vol 15, Iss 2, Pp 108-111 (2022) |
op_relation |
http://www.hamdanjournal.org/article.asp?issn=2227-2437;year=2022;volume=15;issue=2;spage=108;epage=111;aulast=Bineetha https://doaj.org/toc/2227-2437 https://doaj.org/toc/2227-247X 2227-2437 2227-247X doi:10.4103/hmj.hmj_23_22 https://doaj.org/article/642b6cb315a54079877a7204d3f6365d |
op_doi |
https://doi.org/10.4103/hmj.hmj_23_22 |
container_title |
Hamdan Medical Journal |
container_volume |
15 |
container_issue |
2 |
container_start_page |
108 |
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1766140473998573568 |