Nasotracheal Intubation

Nasotracheal intubation is done to induce anesthesia and secure the upper airway while performing surgeries on the head and neck. It is contraindicated in patients having frequent episodes of epistaxis, large nasal polyps, and advanced upper airway obstruction. Complications of nasotracheal intubation include damage to the nasal cavity and vocal cords.

  
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My uvula is stretched and is hanging out after intubation. Please help.

Query: Hello doctor, I just had undergone spine surgery and was intubated. I had a cold two weeks ago and had a weird feeling between my throat and nasal passages, as if the mucus was just there. My uvula was stuck and swollen when they intubated me for surgery. I am guessing the uvula stretched and starte...  Read Full »


Answer: Hi, Welcome to icliniq.com. I suggest you use anti-edematous drugs like Reparil (Diethyline salicylate) tablets thrice daily plus local oral anti-inflammatory sprays, like Orex spray or Omit-C spray. It would be helpful if you send me a photo of your pharynx from inside. You can also send the names ...  Read Full »

Can a person survive three episodes of cardiac arrest when he is intubated?

Query: Hello doctor, My brother had a cardiac arrest, and no one was present with him at the time of the incident. When he was found, he had asystole and PEA, and he had only one shockable rhythm. He was taken to the hospital, and on the way to the hospital, he had two more cardiac arrests. His blood press...  Read Full »


Answer: Hello, Welcome to icliniq.com. I have read your query and understand your concern. It is difficult to revive the patient if the arrest is long enough. The estimated increased risk of death is 10 % per minute of the arrest. Once the patient is intubated, the intubation tube is removed only when the...  Read Full »

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