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Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation

Abstract

Nasotracheal tube induced nasal ala pressure sores or necrosis during prolonged nasotracheal intubation have been reported, and it is a serious but preventable complication. Here we introduce a modified nasotracheal tube to prevent this complication. This modified nasotracheal tube is composed of two parts, an oral endotracheal tube and a proximal part of a preformed nasotracheal tube, which are linked by a connector. The use of this modified nasotracheal tube can prevent nasal ala pressure sores during prolonged nasotracheal intubation.

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References

  1. Dauphinee K. Nasotracheal intubation. Emerg Med Clin N Am. 1998;6:715–23.

    Google Scholar 

  2. O’hanlon J, Harper KW. Epistaxis and nasotracheal intubation: prevention with vasoconstrictor spray. Ir J Med Sci. 1994;163:58–60.

    PubMed  Article  Google Scholar 

  3. Williams AR, Burt N, Warren T. Accidental middle turbinectomy: a complication of nasal intubation. Anesthesiology. 1999;90:1782–4.

    CAS  PubMed  Article  Google Scholar 

  4. Zwillich C, Pierson DJ. Nasal necrosis: a complication of nasotracheal intubation. Chest. 1973;64:376–7.

    CAS  PubMed  Article  Google Scholar 

  5. Huang WS, Chou TD, Chen TM, Wang HJ, Lee GY, Wong CS. Nasal ala pressure sores: easily missed complications of nasotracheal tube intubation. J Med Sci. 2002;22:101–4.

    Google Scholar 

  6. Huang TT, Tseng CE, Lee TM, Yeh JY, Lai YY. Preventing pressure sores of the nasal ala after nasotracheal tube intubation: from animal model to clinical application. J Oral Maxillofac Surg. 2009;67:543–51.

    PubMed  Article  Google Scholar 

  7. Anand R, Turner M, Sharma S, Mourouzis C, Mellor TK, Brennan PA. Use of a polyvinyl acetyl sponge nasal pack to prevent ala necrosis during prolonged nasal intubation. Br J Oral Maxillofac Surg. 2007;45:601.

    CAS  PubMed  Article  Google Scholar 

  8. Goodman LR, Laing F, Singer MM. Radiography evaluation of ETT position. Am J Roentgenol. 1976;127:433–4.

    CAS  Google Scholar 

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Correspondence to Chen-Hwan Cherng.

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Cherng, CH., Chen, YW. Using a modified nasotracheal tube to prevent nasal ala pressure sore during prolonged nasotracheal intubation. J Anesth 24, 959–961 (2010). https://doi.org/10.1007/s00540-010-1009-z

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  • DOI: https://doi.org/10.1007/s00540-010-1009-z

Keywords

  • Nasal ala pressure sore
  • Nasal intubation