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- W2092176688 abstract "To the Editor: Various methods have been advocated to prevent trauma from nasotracheal intubation (1,2), including a recent trial by Lee et al. (3) comparing the influence of two different tip designs on nasal trauma. In this study, the authors demonstrated that softening the tube with warm saline reduced the risk of epistaxis. However, thermosoftening a polyvinyl chloride tube can lead to its distortion and obstruction, particularly at the tube’s weakest point where the inflation lumen opens into the cuff (4–6). Thus routine use of thermosoftening cannot be recommended. Lee et al. suggest that the Magill tip is better suited to nasotracheal intubation under direct vision. The use of a Magill tip may also ease the passage of the endotracheal tube into the trachea when a fiberoptic bronchoscope is used, as the tip of the bronchoscope can inadvertently be placed through the eye of a Murphy tip, making it impossible to advance the tube into the trachea (7,8). If retrograde nasotracheal intubation is intended using a “pulling thread technique,” the use of a Murphy tip tube is necessary, so that the thread can be secured to the tip of the endotracheal tube at the Murphy eye (9,10). Rajesh Mahajan Rahul Gupta Anju Sharma Department of Anaesthesia ASCOMS Jammu, J&K, India [email protected]" @default.
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- W2092176688 date "2006-07-01" @default.
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- W2092176688 title "Tube Design for Nasotracheal Intubation" @default.
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- W2092176688 doi "https://doi.org/10.1213/01.ane.0000215211.59302.ee" @default.
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