Novel method - Seldinger's technique for submental intubatio
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Abstract:
Airway management is a challenge to anesthesiologists particularly in maxillofacial surgeries. The oral tracheal tube is unsuitable because it interferes with the surgical field and prevents dental occlusion. Nasotracheal intubation may not always be possible due to structural deformity or trauma to the nasal bones. Tracheostomy and submental intubation have their drawbacks. To overcome these shortcomings we used Percutaneous Dilatational Tracheostomy Kit (PDTK) to modify the technique of submental intubation. Serial dilatations were performed over the guide wire before passing the tracheal tube by submental route, using the PDT kit in four patients. Submental intubation could be achieved in all the four cases with this technique and there were no associated complications. Seldinger's technique is a simple and easy technique with minimal bleeding, imperceptible scar, and more importantly anesthesiologists feel more comfortable because of their familiarity with the Seldinger technique.

Case :
Four patients with maxillofacial trauma posted for surgery during the period from August 2012 to January 2013 were planned to be subjected to submental intubation. Institutional Ethical Committee approval and informed and written patient consent was obtained.Thorough preanaesthetic evaluation was followed by usual preparation for anaesthesia.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3968651/
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