What is nasotracheal intubation?

Nasotracheal intubation is a non -surgical technique used during emergencies to create definitive airways and supply oxygen air to a person who experiences difficulty breathing before he arrives. This technique can also be used when a person experiences the inability to maintain adequate blood oxygen or when a person has to undergo dental, intraoral or oropharyngeal procedures such as mandibular reconstruction. Nakedal intubations are mostly used for people who are awake, breathe spontaneously and look for comfort.

For nasotracheal intubation, a local anesthetic, such as Lidocain, is first sprayed in the nasal part to minimize discomfort. The nasotracheal tube then passes through the nostril to a position that is estimated to be above the larynx or vocal cord. Then the patient is asked to take a deep breath so that the trachea is open or patented. The tube is then instantly inserted into the trachea, so farThe patient sits because in this position the larynx does not fall into the back of the neck. If the emergency physician or healthcare provider considers it necessary for the patient to undergo general anesthesia, this can be done while the patient lies on his back.

Nasotracheal intubation can be used to prepare a patient for the treatment of upper gastrointestinal tract disorders. When the esophagus walls have varices or crumbly blood vessels of the esophagus or crumbly blood vessels, for example, the Sengstaken-Bikemore tube can be inserted either by mouth or nose. The tube can be accidentally inserted into the patient's trachea, so the airways must be pre -secured with nakedal or orotracheal intubation.

Using nakedal intubation avoids in cases of coagulopathy or blood coagulation disorders such as haemophilia, epiglottitis or inflammation of epiglottis, the instability of the center caused by the trauma of the face, suspicion of evilMeniny in the skull base caused by a trauma of the head and the approaching respiratory stop. Its use is also relatively avoided in the presence of large nasal polyps, upper neck infection, surgery replacing heart valves and recent upper airway surgery. NASOTRACHEAL intubation should not be used longer than needed, because it is a common cause of nosebleeds due to damage to the nasal mucosa. It can also cause loss of consciousness due to vagal stimulation and damage to vocal cords when placed. The nasotracheal tube is essentially foreign bodies that can be colonized by bacteria, so it can also serve as a source of bacteria and infection.