Oral to Nasal Endotracheal Tube Exchange: Modification to Enable Wider Applicability of an "Old Connector" Technique-A Case Report

Nasotracheal intubation is an essential component of anesthetic management for intraoral and mandibular surgeries. Direct nasotracheal intubation can occasionally be difficult and require an initial oral endotracheal tube (ETT) placement with subsequent conversion to a nasal ETT. Numerous techniques...

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Bibliographic Details
Published inA&A practice Vol. 17; no. 7; p. e01703
Main Authors Desilva, Mahesh, Maan, Ramneek, Helwany, Muhammad Eyad, Bhuller, Amardip S
Format Journal Article
LanguageEnglish
Published United States 21.07.2023
Subjects
Humans
Intubation, Intratracheal
Operating Rooms
Orthognathic Surgical Procedures
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Summary:Nasotracheal intubation is an essential component of anesthetic management for intraoral and mandibular surgeries. Direct nasotracheal intubation can occasionally be difficult and require an initial oral endotracheal tube (ETT) placement with subsequent conversion to a nasal ETT. Numerous techniques have been described. However, execution can be challenging and limited by available resources. This report re-examines conventional oral to nasal ETT conversion techniques and describes another innovative approach utilizing equipment more readily available in the operating room or as an option when difficulty is encountered with conventional conversion techniques.
ISSN:2575-3126
DOI:10.1213/XAA.0000000000001703