BLIND AWAKE NASAL ENDOTRACHEAL INTUBATION in a case of difficult intubation. скачать в хорошем качестве

BLIND AWAKE NASAL ENDOTRACHEAL INTUBATION in a case of difficult intubation.

BLIND AWAKE NASAL ENDOTRACHEAL INTUBATION. In a case of difficult intubation where Direct Laryngoscopy was not possible due to oral mucosal fibrosis with only one finger of mouth opening and laproscopic cholecystectomy is planned for this patient. Procedure was performed with help of Local anesthesia + superior laryngeal nerve block + transtracheal block. An old aged technique but still useful in peripheral setups where costly and delicate fiberoptic bronchoscope (gold standard) is not available. Requires no sophisticated equipment. Knowledge, patience, perseverance and skill leads to success. Most importantly you can abandon the procedure anytime if you are exhausted Or unable to intubate, without any harm to the patient. Technique secrets - Look, listen and feel. Extubation - It should only be performed after the patient is fully awake and regains full motor power. By - Dr Prashant Shanker Agarwal, Shanker Hospital, Khatima, distt : U. S. Nagar, Uttarakhand. Mob no - 8658500216