Protecting the tracheal tube cuff: a novel solution.

TitleProtecting the tracheal tube cuff: a novel solution.
Publication TypeJournal Article
Year of Publication2021
AuthorsAbel A, Behrman DA, Samuels JD
JournalJ Dent Anesth Pain Med
Date Published2021 Apr

We describe the successful insertion of a nasotracheal tube following repeated cuff rupture. The patient was a 55-year-old woman with a history of nasal trauma and multiple rhinoplasties, who underwent elective Lefort I osteotomy and bilateral sagittal split osteotomy for correction of skeletal facial deformity. During fiberoptic bronchoscope-guided nasal intubation after the induction of general anesthesia, the tracheal tube repeatedly ruptured in both nares, despite extensive preparation of the nasal airways. We covered the cuff with a one-inch tape, intubated to the level of the oropharynx, pulled the tracheal tube out through the mouth, and removed the tape. The tracheal tube was then backed out to the level of the uvula, and was successfully advanced.

Alternate JournalJ Dent Anesth Pain Med
PubMed ID33880409
PubMed Central IDPMC8039165