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Advanced Technical IVT

nasoendotracheal intubation

Pronunciation: nay-zoh-en-doh-TREE-kee-ul

A technique for securing the airway in which an endotracheal tube is passed through a nostril, through the nasopharynx, and into the trachea, commonly used in dental and maxillofacial anesthesia.

Full Definition

Nasoendotracheal intubation (also written as nasotracheal intubation) is the preferred airway management technique for many intraoral dental and oral-maxillofacial surgical procedures because it moves the endotracheal tube away from the operative field. The tube passes through the nasal passage, past the nasopharynx, and into the trachea, either blindly or with laryngoscopic guidance. Editors must note that 'nasoendotracheal', 'naso-endotracheal', and 'nasotracheal' are all used in the literature; house style should be applied consistently. Contraindications such as mid-face fractures or coagulopathy are typically documented in the anesthetic plan.

Usage

Usage note: Three variant spellings exist: 'nasoendotracheal', 'naso-endotracheal', and 'nasotracheal'. Standardise to house style. Most North American journals prefer 'nasotracheal intubation'.

In Context

  • "Nasotracheal intubation was selected to provide unobstructed intraoral access during the orthognathic surgery." — Oral and maxillofacial surgery anesthesia record
  • "The technique section described nasoendotracheal intubation as the standard approach for patients undergoing full-mouth dental rehabilitation under general anesthesia." — Clinical guidelines document

Also known as

nasotracheal intubation nasal intubation

Contrasted with

orotracheal intubation

Don't confuse with

orotracheal intubation supraglottic airway

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