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Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope
Published on: April 5, 2014
A modified submental orotracheal intubation
Keelara Shivalingaiah Savitha1, Abha Rani Kujur2, M S Vikram1
1Department of Anaesthesia, St. John's Medical College Hospital, Bengaluru, Karnataka, India.
Abstract:
In patients with concomitant occurrence of maxillofacial and basilar skull fractures, open reduction and internal fixation is the treatment. It requires intermittent intra operative dental occlusion which precludes oral or nasal intubation. In such cases submental intubation (SMI) is a recognized technique in practice. We describe a modified technique for smooth exteriorization of the endotracheal tube (ETT) during SMI. As the SMI technique is unusual for the performer, emphasis is laid on the applied aspects to minimize probable complications during the procedure. With the modified technique we performed SMI uneventfully on five patients.
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