nasotracheal การใช้

• Nasotracheal intubation carries a risk of dislodgement of adenoids and nasal bleeding.
• For infants and young children, orotracheal intubation is easier than the nasotracheal route.
• In a nasotracheal procedure, an endotracheal tube is passed through the nose and vocal apparatus into the trachea.
• A cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated.
• A tube is inserted through the nose ( nasotracheal intubation ) or mouth ( orotracheal intubation ) and advanced into the trachea.
• An endotracheal tube is a specific type of tracheal tube that is nearly always inserted through the mouth ( orotracheal ) or nose ( nasotracheal ).
• Despite the greater difficulty, nasotracheal intubation route is preferable to orotracheal intubation in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of the tube.
• Magill devised a new type of angulated forceps ( the Magill forceps ) that are still used today to facilitate nasotracheal intubation in a manner that is little changed from Magill's original technique.
• Another pioneer in this field was Sir Ivan Whiteside Magill ( 1888 1986 ), who developed the technique of awake blind nasotracheal intubation, the Magill forceps, the Magill laryngoscope blade, and several apparati for the administration of volatile anesthetic agents.
• Among these were those made by Sir Queen's Hospital for Facial and Jaw Injuries in Sidcup with plastic surgeon Sir Harold Gillies ( 1882 1960 ) and anesthetist E . Stanley Rowbotham ( 1890 1979 ), Magill developed the technique of awake blind nasotracheal intubation.