Objective: To provide a detailed description of the nasopharyngeal intubation (NPI) technique and photographs, which should be helpful for those who may need to perform it for treating the airway obstruction in Robin sequence.
Design: To describe and illustrate the NPI technique and the necessary considerations for its application.
Setting: Hospital de Reabilitação de Anomalias Craniofacial of University of São Paulo, Brazil.
Result: The NPI procedure involves the use of a whitish, Portex, number 3.0 or 3.5, silicone tube, introduced 8 cm deep into the infant's nostril and fixed with Micropore tape. The tube is to be removed at least twice a day for proper hygiene (with running water, detergent, and swabs) and should be changed every 7 days. This procedure is taught to the children's parents or caretakers by the nurse during hospitalization.
Conclusion: The technique is so simple that it can be performed by the parents themselves, allowing continuation of the treatment at home.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1597/08-042.1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
We present a case of an infant patient with Robin sequence (Pierre Robin sequence; PRS) who underwent general anesthesia for a glossopexy procedure. Pediatric patients with PRS are prone to upper airway obstruction during general anesthesia induction and intubation difficulties due to micrognathia and glossoptosis. In this case, we facilitated mask ventilation by inserting a nasopharyngeal airway before induction and successfully intubated the patient using a 2-person technique that combined the use of a video laryngoscope and a flexible fiber-optic scope.
View Article and Find Full Text PDFAirway Management in Austere Settings: Intubation Is Not Always the Best Option.
Wilderness Environ Med
December 2024
Department of Emergency Medicine, Stanford University, Palo Alto, CA.
Management of the airway in austere environments can differ substantially from standard in-hospital airway management. Devices such as nasopharyngeal airways, oropharyngeal airways, endotracheal tubes, extraglottic airways, ventilators, and sedative and paralytic medications may not be available. Weather, scene hazards, difficulties of extrication, transport times, skill sets of rescuers, and availability of advanced equipment are highly variable.
View Article and Find Full Text PDFRadiotherapy Effects on Airway Management in Patients with Nasopharyngeal Cancer.
Cancers (Basel)
November 2024
Department of Radiation Oncology, Medical Faculty Heidelberg, University Heidelberg, 69120 Heidelberg, Germany.
: At present, there is a paucity of data in the literature pertaining to the impact of radiotherapy (RT) on the success of tracheal intubation in patients with nasopharyngeal cancer (NPC). The aim of this study is to investigate the frequency of difficult tracheal intubation in patients with NPC following RT. : Patients with NPC who underwent RT followed by surgery between 2012 and April 2024 at the University Hospital Heidelberg were retrospectively analyzed.
View Article and Find Full Text PDFNasotracheal intubation can reveal unexpected findings like a foreign body in the airway. In such instances, expeditious decision-making is crucial to achieve ideal outcomes. This case report describes a petroleum jelly-based foreign body discovered in the nasopharynx during nasotracheal intubation and the subsequent airway management.
View Article and Find Full Text PDFIn Reference to Difficult Tracheal Intubation and Airway Outcomes after Radiation for Nasopharyngeal Carcinoma.
Laryngoscope
February 2025
Department of Otorhinolaryngology, Selcuk University Faculty of Medicine, Selcuklu, Konya, Turkey.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!