Nasotracheal intubation for airway management during anesthesia
- Author:
Dong Ho PARK
1
;
Chia An LEE
;
Chang Young JEONG
;
Hong-Seuk YANG
Author Information
- Publication Type:Review
- From:Anesthesia and Pain Medicine 2021;16(3):232-247
- CountryRepublic of Korea
- Language:English
- Abstract: Nasotracheal intubation is used as a basic method for airway management, along with orotracheal intubation under anesthesia and intensive care. It has become an effective alternative method to orotracheal intubation with increased benefits of offering better mobility and surgical field in oral and maxillofacial surgery and possibly in trauma and critically ill patients. Nasotracheal intubation is performed through a relatively narrow nasal cavity; therefore, additional precautions are needed. Accordingly, nasotracheal intubation methods have evolved over the years with accumulated clinical experience and improved instruments to facilitate safe intubation with reduced complications. Therefore, in this review article, we summarize the basic anatomy of the nasal airways to clarify the precautions, delineate the history and development of various methods and instruments, and describe the indications, contraindications, complications, and preventive methods of nasotracheal intubation.
