Volume : 7, Issue : 5, May - 2018

BLIND NASOTRACHEAL INTUBATION IN A RARE CASE OF MANDIBULAR RETROGNATHIA : SAFE AND EFFECTIVE TECHNIQUE

Dr Priya Jain, Dr Akanksha Bansal, Dr. Anupam Pandey

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:normal"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;Calii;mso-bidi-language:EN-US">Proper airway maintenance is the pre-requisite for anesthesia. A difficult intubation should be anticipated in preanesthetic room itself by detailed history and examination .Various techniques of anaesthetic management with difficult intubation are available now days like video laryngoscopic intubation, blind nasal intubation, fieoptic guided intubation and use of various intubating laryngeal mask airways.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;Calii;mso-bidi-language:EN-US">Blind nasal intubation is an option whenever oral access is difficult or not possible. </span><span style="font-size:14.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-bidi-language:EN-US">It does not require availability of a special device</span><span style="font-size:14.0pt;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:Calii;&#10;mso-bidi-language:EN-US">.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;Calii;mso-bidi-language:EN-US">This is a case report of a 36 year old male with mandibular malunion leading to a rare condition of Mandibular Retrognathia who came for surgical correction under general anaesthesia.<o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:normal"><span style="font-size:14.0pt;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;Calii;mso-bidi-language:EN-US">Patient&rsquo;s mouth opening was one finger, Mallampati grade IV and anticipated as difficult airway.<o:p></o:p></span></p>