Nasal Intubation
Nasal Intubation - Related Videos
11:19
Guidelines for Elective Pediatric Fiberoptic Intubation
0 Views •
Cited by 17 •
2011
We describe guidelines to perform a safe and efficient elective fiberoptic intubation in pediatric patients while maintaining spontaneous ventilation.
09:28
COVID-19 / Coronavirus Outbreak: Protecting The Airway - Endotracheal Intubation
0 Views •
2020
In pandemic times, medical staff is becoming a key resource in fighting the infection. To achieve the best medical care, relevant techniques and procedures have to be taught to medical staff to reduce the risk of infection. COVID patients often need mechanical ventilation due to progredient respiratory insufficiency, so an endotracheal intubation becomes a critical procedure in managing these patients. This procedure has an increased risk of infection due to aerosol formation and working with...
04:46
A Novel Rescue Technique for Difficult Intubation and Difficult Ventilation
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2011
We describe a technique to maintain oxygenation and ventilation using an endotracheal tube inserted nasally to the level of the naso-pharynx while sealing the mouth and nares for successful positive pressure ventilation.
07:52
Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department
0 Views •
Cited by 3 •
2011
This video describes how to perform CO2 measurement in intubated as well as spontaneously breathing patients. The main clinical indications refer to emergency situations: (1) verifying adequate positioning of an endotracheal tube; (2) achieving normocapnia in trauma patients; (3) monitoring ventilation in the case of procedural sedation.
07:06
A Simple Method of Mouse Lung Intubation
0 Views •
Cited by 50 •
2013
This paper describes a striaghforward and efficient method of intubating mice for pulmonary function measurements or pulmonary instillation, that allows the mice to recover and be studied at later times. The procedure involves an inexpensive fiberoptic light source that directly illuminates the trachea.
FAQs
Nasal intubation can preserve oral access when the mouth must remain unobstructed for a procedure. This consideration is especially relevant during dental, oral, maxillofacial, and selected head and neck operations, where an oral tube could interfere with the surgical field. The choice therefore depends on procedural requirements as well as the clinician’s assessment of the patient and airway.
After the tube passes through the nasal passage and nasopharynx, visualization helps direct its tip through the glottis and into the trachea. Laryngoscopy or another airway-visualization approach provides information about the laryngeal pathway rather than relying only on external positioning. This guidance supports more controlled advancement and helps clinicians monitor whether the intended airway route is being followed.
Monitoring oxygenation and tube placement is central to maintaining airway safety during the technique. Oxygenation indicates how well the patient is being supported, while placement checks help confirm that the tube has reached the intended airway location. Together, these observations allow clinicians to recognize problems during advancement and respond before inadequate ventilation or malposition becomes clinically significant.
The nasal route can produce nasal bleeding and mucosal injury because the tube traverses delicate upper-airway tissue. Other airway complications may also occur, so careful insertion and patient assessment are important safeguards. These risks help explain why the technique requires controlled advancement, airway visualization, and ongoing attention to oxygenation and tube position rather than simple tube passage alone.
Its main procedural value appears when clinicians need reliable ventilation while keeping the mouth available for access. The technique may support anesthesia and ventilation during oral and dental procedures, maxillofacial operations, and selected head and neck procedures. Its usefulness in these settings comes from separating the airway device’s route from the oral working area.
Patient assessment and the planned procedure should guide whether this airway approach is appropriate. Clinicians must weigh the need to preserve oral access against the possibility of nasal bleeding, mucosal injury, or other airway complications. During insertion, careful advancement, airway visualization, and monitoring of oxygenation and tube placement remain important for supporting effective ventilation and reducing avoidable problems.