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Blind nasal intubation during spontaneous breathing, laryngeal mask airway, intubating laryngeal mask airway, transtracheal needle jet ventilation, and fiberoptic bronchoscopy are among the airway rescue devices that are available under such circumstances [ 1].
In a most grim example, Ensure has been used via nasal intubation to force-feed hunger-striking prisoners at Guantánamo Bay, but that's far from a normal use case.
Blind nasal intubation was attempted in the past [5].
Solan [4] suggested to avoid nasal intubation, as this may damage or disrupt the recently constructed flap.
From this cohort, we excluded 1555 patients with cardiac arrest and 174 patients who underwent an initial intubation attempt with paralytics alone, flexible fiberoptic intubation, blind nasal intubation, cricothyrotomy, or other methods.
We also excluded patients who underwent intubation with paralytics alone, flexible fiberoptic intubation, blind nasal intubation, or surgical cricothyrotomy to compare the outcomes between oral intubations with RSI and those with non-RSI.
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An intubation attempt was defined as a single insertion of the laryngoscope (or other device) past the teeth. 2 10–13 For nasal intubations, an attempt was defined as a single insertion of a tracheal tube past the turbinates.
The study objective was to evaluate whether the single-use fiberoptic bronchoscope (FOB), Ambu aScope 3 Slim, was equally efficient compared with the conventional reusable FOB, Olympus LF-GP, for nasal fiberoptic intubation in a manikin.
We chose an awake nasal fiberoptic intubation technique to secure our patient's airway.
The patient was prepared for awake nasal fiberoptic intubation with intravenous glycopyrrolate and lidocaine spray topically to the nasopharynx.
Regarding ventilation care, the way of intubation (nasal, oral, tracheostomy),the type of cuff (polyvinyl, polyurethane), the current cuff pressure, the type of suctioning system (opened or closed), the current head positioning, the moistening system (heat and moisture exchangers, active devices) and the use of a subglottic suctioning system were recorded for each patient.
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