Yapay Zeka Hızlı Bakış & Çıkarımlar
AI InsightOn the other hand, cuff inflation maneuver must also be kept in mind.
📌 3 Maddede Bu Makale
Abstract
Background/aim: Nasotracheal Airtraq is specifically designed to improve the glottis view and ease the nasotracheal intubation processin normal and difficult cases.Materials and methods: After Ethics committee approval, we decided to enroll 40 patients with an ASA physical status of I or II,between 18 and 70 years of age undergoing elective maxillofascial, oral, and double chin surgery to determine which nostril is moresuitable for nasotracheal intubation with nasotracheal Airtraq. Patients were randomized into the right and left nostril groups.Results: Demographic and airway characteristics were similar among the groups. Nasotracheal intubation through the right nostrilwas shorter than that of the left nostril during nasotracheal intubation with the Airtraq NT (P < 0.001). 90° counterclockwise rotationof the tip of the tube was needed for directing the tube into the vocal cords in both right and left nostril groups (72% vs 88%). Externallaryngeal pressure and head flexion maneuvers can ease the intubation from the left nostril (P < 0.001 vs P = 0.03). Cuff inflationmaneuver also can be helpful in some cases. We did not need any operator change or Magill forceps for any of the patients.Conclusion: Nasotracheal intubation via the right nostril can be safely and quickly performed with the Airtraq NT without the need ofMagill forceps. We recommend the use of the 90° counterclockwise rotation, external laryngeal pressure, and head flexion maneuvers todirect the tube into the vocal cords first. On the other hand, cuff inflation maneuver must also be kept in mind.