Innovative Approach to Nasotracheal Intubation by Fiberoptic Bronchoscopy


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Oluş F., Babun H.

AÇBİD 2024, Antalya, Turkey, 10 - 14 May 2024, no.60, pp.61

  • Publication Type: Conference Paper / Summary Text
  • City: Antalya
  • Country: Turkey
  • Page Numbers: pp.61
  • Akdeniz University Affiliated: Yes

Abstract

anesthesia practice. Among the various specialized tools, fiberoptic bronchoscopy (FOB)

emerges as the only option especially in patients with limited mouth opening, Therefore, the

ability to use FOB quickly and effectively becomes crucial.

Case: A 39-year-old male patient with TMJ ankylosis developed following a previous trauma

was scheduled for bilateral gap arthroplasty. As direct laryngoscopy or videolaryngoscopy was

not possible due to the restricted mouth opening, nasotracheal intubation with the aid of FOB

was planned. Unlike the conventional method which includes the introducing the bronchoscope

first and then the intubation tube, a modified method was performed in an attempt to minimize

the contact with blood and secretions. In this case, the intubation tube was first passed through

the nasal cavity in a controlled manner, then, the tube was used as a guide to advance the FOB

through the nasal cavity.

Conclusion: Passing the endotracheal tube through the nasal cavity before FOB may provide

a faster and more effective intubation in cases with difficult airways.