Telescoping Nasal Intubation for Carotid Endarterectomy: A Case Series.

IF 0.5

A&A Practice Pub Date : 2023-01-01 DOI:10.1213/XAA.0000000000001657

Brittany J McDowell, Sonal Sharma

引用次数: 0

Abstract

Systemic anticoagulation is a relative contraindication for performing nasal intubation due to the risk of hazardous bleeding. However, nasal intubation may sometimes be the only way to facilitate surgical exposure. There are currently no recommendations in the literature to safely perform nasal intubation in anticoagulated patients. This case series describes 4 patients, all receiving systemic anticoagulation for carotid endarterectomy, who received nasal intubation using a telescoping approach. None of them had any epistaxis. Telescoping the endotracheal tube using a red rubber catheter may be an effective and safe method for nasal intubation when there is a high risk of epistaxis.

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颈动脉内膜切除术的伸缩式鼻插管:一个病例系列。

全身抗凝是进行鼻插管的相对禁忌症，因为有危险出血的风险。然而，鼻插管有时可能是促进手术暴露的唯一方法。目前在文献中没有建议安全地对抗凝患者进行鼻插管。本病例系列描述了4例患者，均接受颈动脉内膜切除术的全身抗凝治疗，并采用伸缩式鼻插管。他们都没有鼻出血。在鼻出血风险较高的情况下，使用红色橡胶导管延长气管插管是一种安全有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

A&A Practice ANESTHESIOLOGY-

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期刊介绍： A & A Case Reports, our new online journal publishing Case Reports, related Editorial Commentary, and Correspondence. Anesthesia & Analgesia 1 and Anesthesiology 2 recently announced that they were suspending publication of Case Reports. One reason is that Case Reports typically reduce the Impact Factor of a journal because they are rarely cited. Regardless of the merits of Impact Factor as a metric of journal worth, journals and their editors necessarily consider Impact Factor in strategic planning. At the same time, Case Reports are appreciated by readers for describing “real life” management of difficult or unusual cases not often encountered by practitioners. In a recent issue of Anesthesia & Analgesia, Steven Shafer1 identified many Case Reports whose publication launched productive careers dedicated to solving the puzzle posed by an unusual observation in a single patient.