ENDOTRACHEAL CUFF TEAR DURING AWAKE FIBREOPTIC GUIDED NASOTRACHEAL INTUBATION- AN ANAESTHESIOLOGIST'S NIGHTMARE - A CASE REPORT

Dr. Garima Anant, Dr. Aman Kaur Saini

Abstract


Various factors may contribute to the endotracheal tube cuff tear during nasotracheal intubation. We
report a sharp nasal spur in the right nostril leading to failed cuff ination. An 18 year old male with TM
joint ankylosis was posted for gap arthroplasty. Twice after successful bre-optic guided nasotracheal intubation but failed cuff
ination via the right nostril, a successful attempt was made at nasotracheal intubation with cuff ination via the left nostril. Cuff
tear caused by a nasal spur is infrequent, but an anaesthesiologist should be abreast of this complication and its subsequent
management during nasotracheal intubation.


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References


Coe T. R., Human M. The perioperative complications of nasal intubation: a comparison of nostril side. Anaesthesia 2001;56:227-84.

Feng YP, Lee CY, Luk HN, Peng SY. Cuff damage caused by a nasal spur during nasotracheal intubation: A case report. Fu- Jen Journal of Medicine 2014;12(2):119-24.


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