Retrograde nasal intubation for an anticipated difficult intubation
A 58-year-old female patient with recurrence of carcinoma in the angle of the mouth on the left side was posted for composite resection and Pectoralis major myocutaneous flap reconstruction. The patient had carcinoma left buccal mucosa 1 year back and had undergone left partial mandiblectomy and rad...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Clinical and Scientific Research |
| Subjects: | |
| Online Access: | http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2022;volume=11;issue=5;spage=30;epage=33;aulast=Linnet |
| _version_ | 1797998876481814528 |
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| author | Sharon Linnet Natham Hemanth Aloka Samantaray M Hanumanth Rao |
| author_facet | Sharon Linnet Natham Hemanth Aloka Samantaray M Hanumanth Rao |
| author_sort | Sharon Linnet |
| collection | DOAJ |
| description | A 58-year-old female patient with recurrence of carcinoma in the angle of the mouth on the left side was posted for composite resection and Pectoralis major myocutaneous flap reconstruction. The patient had carcinoma left buccal mucosa 1 year back and had undergone left partial mandiblectomy and radiotherapy. On airway examination (MPG) could not be assessed; on mouth opening one-and-half finger was admitted. There was a 4 cm × 4 cm ulceroproliferative growth in the left angle of the mouth extending to lower lip, which was bleeding on touch. After shifting to the operating theatre, venous access was secured with a with a wide-bore cannula. Standard monitoring was connected and preoxygenation was done. Under strict aseptic precaution under local anaesthesia, trachea located with Touhy's needle. Epidural catheter passed through the needle into the larynx and taken out through the oral cavity and Ryle's tube, which the patient already had for feeds, was pulled and taken out of the oral cavity. Catheter tip was tied to it and pulled out through the nostril and passed through murphy's eye of 6.5 mm (ID ETT) and lower end pulled, thereby pulling ETT into the trachea, cuff was inflated and tube fixed at 25 cm. General anaesthesia was administered. Thorough airway assessment, preparat ion and counselling of patient help in reducing airway-related morbidity and mortality. |
| first_indexed | 2024-04-11T10:55:42Z |
| format | Article |
| id | doaj.art-c2f6d93e5ef142a8bc5f3b7096403b88 |
| institution | Directory Open Access Journal |
| issn | 2277-5706 2277-8357 |
| language | English |
| last_indexed | 2024-04-11T10:55:42Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Scientific Research |
| spelling | doaj.art-c2f6d93e5ef142a8bc5f3b7096403b882022-12-22T04:28:46ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572022-01-01115303310.4103/jcsr.jcsr_109_20Retrograde nasal intubation for an anticipated difficult intubationSharon LinnetNatham HemanthAloka SamantarayM Hanumanth RaoA 58-year-old female patient with recurrence of carcinoma in the angle of the mouth on the left side was posted for composite resection and Pectoralis major myocutaneous flap reconstruction. The patient had carcinoma left buccal mucosa 1 year back and had undergone left partial mandiblectomy and radiotherapy. On airway examination (MPG) could not be assessed; on mouth opening one-and-half finger was admitted. There was a 4 cm × 4 cm ulceroproliferative growth in the left angle of the mouth extending to lower lip, which was bleeding on touch. After shifting to the operating theatre, venous access was secured with a with a wide-bore cannula. Standard monitoring was connected and preoxygenation was done. Under strict aseptic precaution under local anaesthesia, trachea located with Touhy's needle. Epidural catheter passed through the needle into the larynx and taken out through the oral cavity and Ryle's tube, which the patient already had for feeds, was pulled and taken out of the oral cavity. Catheter tip was tied to it and pulled out through the nostril and passed through murphy's eye of 6.5 mm (ID ETT) and lower end pulled, thereby pulling ETT into the trachea, cuff was inflated and tube fixed at 25 cm. General anaesthesia was administered. Thorough airway assessment, preparat ion and counselling of patient help in reducing airway-related morbidity and mortality.http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2022;volume=11;issue=5;spage=30;epage=33;aulast=Linnetdifficult airwaylimited mouth openingretrograde nasal intubation |
| spellingShingle | Sharon Linnet Natham Hemanth Aloka Samantaray M Hanumanth Rao Retrograde nasal intubation for an anticipated difficult intubation Journal of Clinical and Scientific Research difficult airway limited mouth opening retrograde nasal intubation |
| title | Retrograde nasal intubation for an anticipated difficult intubation |
| title_full | Retrograde nasal intubation for an anticipated difficult intubation |
| title_fullStr | Retrograde nasal intubation for an anticipated difficult intubation |
| title_full_unstemmed | Retrograde nasal intubation for an anticipated difficult intubation |
| title_short | Retrograde nasal intubation for an anticipated difficult intubation |
| title_sort | retrograde nasal intubation for an anticipated difficult intubation |
| topic | difficult airway limited mouth opening retrograde nasal intubation |
| url | http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2022;volume=11;issue=5;spage=30;epage=33;aulast=Linnet |
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