Online ISSN: 2515-8260

Nasotracheal vs. blind bougie insertion or bougie through nasal airway followed by tracheal intubation: A prospective randomised, controlled trial

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1Dr. N Gopal Reddy, 2Dr. R Gnana Sekar, 3Dr. S Gopinath, 4Dr. Praveen Kumar S, 5Dr. B Ujwal and 6Dr. P Kiran Tejaswini

Abstract

Background: Nasotracheal intubation consists of blind nasal passage and external manipulation of the endotracheal tube through the glottis (‘conventional technique’), a technique associated with a high incidence of nasal trauma, bleeding and tube cuff damage. Aims: Aim of our technique to compare old blind technique with new tech niques for ease of intubation using bougie and nasal airway with bougie techniques which facilitate ease of intubation and reduce nasopharyngeal trauma, pain and bleeding. Settings and Design: These techniques including routine post-induction nasotracheal intubation by blindly passing a nasotracheal tube vs. passing a bougie blindly (‘bougie technique’) verses using a nasopharyngeal airway to guide bougie for nasotracheal for tracheal intubation

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