[Intubation with the Combitube-TM in massive hemorrhage from the locus Kieselbachii]

Massive nasal haemorrhage occurred during an attempted nasal endotracheal intubation in a 52-year old patient, scheduled for bone grafting to the mandibula. Ventilation of the patient by face mask and conventional endotracheal intubation by laryngoscopy were not possible due to massive bleeding. This situation was successfully managed by the use of a Combitube. The role of the Combitube in difficult airway management as well as its extensive contraindications are discussed. Rare complications when using the Combitube, their diagnosis and treatment are mentioned.