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Protecting the tracheal tube cuff: a novel solution

Abel A, Behrman DA, Samuels JD

We describe the successful insertion of a nasotracheal tube following repeated cuff rupture. The patient was a 55-year-old woman with a history of nasal trauma and multiple rhinoplasties, who underwent...
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A prospective randomized trial of xylometazoline drops and epinephrine merocele nasal pack for reducing epistaxis during nasotracheal intubation

Patel S, Hazarika A, Agrawal P, Jain D, Panda NK

Background: The most frequent complication of nasotracheal intubation (NTI) is epistaxis. Epinephrine nasal gauze packing has been used conventionally as a pre-treatment for reducing epistaxis, but it carries a disadvantage...
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Optimal effect-site concentration of remifentanil to prevent hemodynamic changes during nasotracheal intubation using a video laryngoscope

Yoon JY, Park CG, Kim EJ, Choi BM, Yoon JU, Kim YH, Lee MO, Han KS, Ahn JH

Background: Nasotracheal intubation is the most commonly used method to secure the field of view when performing surgery on the oral cavity or neck. Like orotracheal intubation, nasotracheal intubation uses...
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Risk factors affecting the difficulty of fiberoptic nasotracheal intubation

Rhee SH, Yun HJ, Kim Je, Karm MH, Ryoo SH, Kim HJ, Seo KS

Background: The success rate of intubation under direct laryngoscopy is greatly influenced by laryngoscopic grade using the Cormack-Lehane classification. However, it is not known whether grade under direct laryngoscopy can...
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Diagnosis and treatment of obstructive atelectasis after general anesthesia in a patient with abscess in the maxillofacial area: A case report

Um BK, Ku JK, Kim YS

The purpose of this study was to report and discuss the diagnosis and treatment of obstructive atelectasis secondary to pus obstruction in a patient who had developed a maxillofacial abscess,...
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Awake fiberoptic nasotracheal intubation for patients with difficult airway

Tsukamoto , Hitosugi T, Yokoyama T

Awake fiberoptic nasotracheal intubation is a useful technique, especially in patients with airway obstruction. It must not only provide sufficient anesthesia, but also maintain spontaneous breathing. We introduce a method...
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Estimation of optimal nasotracheal tube depth in adult patients

Ji SM

BACKGROUND: The aim of this study was to estimate the optimal depth of nasotracheal tube placement. METHODS: We enrolled 110 patients scheduled to undergo oral and maxillofacial surgery, requiring nasotracheal intubation....
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Learning fiberoptic intubation for awake nasotracheal intubation

Kim H, So E, Karm MH, Kim HJ, Seo KS

BACKGROUND: Fiberoptic nasotracheal intubation (FNI) is performed if it is difficult to open the mouth or if intubation using laryngoscope is expected to be difficult. However, training is necessary because...
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Identifying the more suitable nostril for nasotracheal intubation using radiographs

Chi SI, Park S, Joo LA, Shin TJ, Kim HJ, Seo KS

BACKGROUND: One nostril must be selected for nasotracheal intubation. In some cases, structural anomalies within the nasal cavity hinder the insertion of the tube or complications, such as epistaxis, develop....
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The evaluation of a scoring system in airway management after oral cancer surgery

Lee HJ, Kim JW, Choi SY, Kim CS, Kwon TG, Paeng JY

BACKGROUND: The purpose of this retrospective study was to investigate the usefulness of tracheostomy scoring system in the decision of postoperative airway management in oral cancer patients. MATERIALS AND METHODS: A...
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Optimal effect-site concentration of remifentanil for minimizing cardiovascular changes caused by fiberoptic nasotracheal intubation

Kim EJ, Jeon HW, Kim TK, Baek SH, Yoon JU, Yoon JY

  • KMID: 2310745
  • J Dent Anesth Pain Med.
  • 2015 Dec;15(4):221-227.
BACKGROUND: Endotracheal intubation induces clinically adverse cardiovascular changes. Various pharmacological strategies for controlling these responses have been suggested with opioids being widely administered. In this study, the optimal effect-site concentration...
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Failed Airway Management in a Patient with Wound Hematoma After Partial Mandibulectomy and Reconstruction with Free Flap

Kim S, Song J, Kang B, Choi C, Choi G

We experienced failed airway management in a patient who had partial mandibulectomy and reconstruction with free-flap. 40 year-old man (height: 164 cm, body weight: 59 kg) with malignant melanoma on...
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Massive Epistaxis during Nasotracheal Intubation

Jeon DG, Song J, Kim SK, Ji SH

A 30-year-old man with morbid obesity (height: 176 cm, body weight: 100 kg, body mass index: 32.28) was scheduled for reconstruction of the mandibular fracture. During induction of general anesthesia...
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Blind Intubation Using Fiberoptic Bronchoscope in Epistaxis

Lee SH, Yoon JY, Kim CH

Nasotracheal intubation is an essential procedure during general anesthesia for dental treatment. Fiberoptic intubation is best accomplished by those who perform it as part of their daily practice. But nasal...
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The Effect of Laryngeal View Grade and Intraoral Bleeding on Intubation Difficulty during Fiberoptic Nasotracheal Intubation

Kim HW, Seo KS, Shin TJ, Kim HJ

BACKGROUND: Nasotracheal intubation for general anesthesia is preferred for oral and maxillofacial procedures because it provides improved access to the operative site. Fiberopic nasotracheal intubation is a useful technique when...
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Effective removal of epistaxis during nasotracheal intubation utilizing a fiberoptic scope in a difficult airway: A case report

Kim MH, Son JS, Lim HS, Kim DK, Kim DC

Nasal bleeding related to nasal trauma is the most common complication of nasotracheal intubation with a fiberoptic scope. When nasotracheal intubation with a fiberoptic scope is performed, profuse bleeding from...
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The Analysis on Degree of Discomfort Caused by Delayed Extubation of Nasotracheal Tube: A Pilot Study

Shim JH, Seo KS, Yi YE, Kim HJ, Yum KW, Park YK

BACKGROUND: It is well known that nasotracheal intubation is comfort for patient compared to oral intubation. We sometimes delay extubation when it is thought that the patient can not maintain...
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Airway Management for General Anesthesia in a Patient with Severe Trismus due to Temporomandibular Joint Ankylosis : A case report

Yoon KB, Kim SH, Nam SH, Park KB, Lee KY

  • KMID: 1917411
  • Anesth Pain Med.
  • 2007 Apr;2(2):98-101.
An ankylosis of temporomandibular joint (TMJ) can cause severe trismus, thus it may bring on many difficulties in airway management such as orotracheal intubation or laryngeal mask airway insertion. Such...
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Retropharyngeal Laceration during Nasotracheal Intubation: A case report

Jeong IM, Woo CH, Kim HS, Kwak IS, Mun SH, Kim HS, Kim KM

Nasotracheal intubation is a useful airway management technique for head, neck, and dental surgery. However, the risks associated with this technique include the possibility of damaging the nasal mucosa and...
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Difference between Cardiovascular Response Blockades by Orolaryngeal and Nasal Lidocaine Sprays during Nasotracheal Intubation under Direct Laryngoscopy

Kim JY, Lee KC, Moon KT, Kwak HJ

BACKGROUND: Cardiovascular response elicited by mechanical stimulation of airways varies depends on the site of stimulation. The purpose of this study was to compare cardiovascular pressor responses to direct laryngoscopic...
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