SonoSim
(855) 873-7666 Login
en English
enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский
  • Home
  • Store
  • Our Solution
    • Our Ultrasound Training
    • The SonoSimulator®
    • Comparison Guide
    • Content Choices
    • Learning Benefits
  • Who We Train
  • For Groups
    • Group Ultrasound Training
    • SonoSim LiveScan®
    • SonoSim LiveScan CaseBuilder Feature
    • Performance Tracker
  • Company
    • About Us
    • Careers
    • Blog
    • International
    • Our Partners
  • Our Clients
    • Client List
    • Case Studies
    • Testimonials
  • Support
  • Contact
  • Languages
    • en English
      enعربى zh-CN 中文 cs Czech de Deutsche en English es Español ru Français it Italiano ja 日本語 pl Polskie pt Português ru Русский

Blind Nasal Intubation Revisited: No Longer a Blind Technique?

Posted in: Clinical Studies, Point-of-Care, Ultrasound Literature|February 25, 2019
Share Button

SONOSIM SUMMARY: This case report examines the use of capnography in conjunction with ultrasonography (US) to assist with nasal intubation. In modern medicine, blind nasal intubation (BNI) has been widely branded as obsolete; however, the two examples referenced in this report suggest that US and capnography assisted nasal intubation can be a potentially lifesaving procedure under certain circumstances. US guidance reduces many of the risks associated with BNI, such as trauma and hemorrhage along the nasal and nasopharyngeal passages, particularly around the glottic opening. The report also finds that US may be useful in minimizing manipulation of the neck in cases involving cervical spine instability. The report highlights the widespread availability of capnography and US in healthcare, and US training for airway management is highly recommended.

Dubey PK, Dubey P, Kumar N, et al. Blind nasal intubation revisited: no longer a blind technique? J Emerg Med. 2017 Feb;52(2):231-234.

Abstract

Background
Advancements in airway management have made the practice of blind nasal intubation obsolete. We report on successful blind nasal intubation performed with the help of capnography and real-time ultrasonography in two patients with tempormandibular joint ankylosis.

Case Report
Blind nasal intubation was performed in a 12-year-old patient and a 17-year old patient under general anesthesia with spontaneous respiration. Capnography was used as an aid during insertion and dynamic ultrasonography was performed to guide and confirm proper tracheal tube placement. Use of capnography helps in following the correct path toward the glottic opening, with quick detection of any obstruction, and with confirmation of final placement of the tracheal tube. Ultrasonography aids with entry into the glottis and with identifying the correct placement. We recommend the use of this modified blind nasal intubation in patients with limited mouth opening when equipment, such as a fiberoptic scope, is not available or is nonfunctional in the emergency department.

Why Should an Emergency Physician be Aware of This?
Adapting this technique will add to the armamentarium available for airway management in emergency medicine, particularly in maxillofacial injuries with limited mouth opening.

To read the article, visit the Journal of Emergency Medicine.

SonoSim Keywords: Bedside Ultrasound, Ultrasound-Guided Nasal Intubation

February 19, 2019 System Administrator

SonoSim Blog

  • Blog
    • Announcements
      • Trade Shows
    • COVID-19
    • International
      • International Partners
    • Newsletter
      • Newsletter 2014
      • Newsletter 2015
      • Newsletter 2016
      • Newsletter 2017
      • Newsletter 2018
      • Newsletter 2019
      • Newsletter 2020
    • SonoSim Case Studies
    • Ultrasound Literature
      • Clinical Studies
        • Cardiology Clinical Studies
        • Emergency Medicine Clinical Studies
        • Gynecology
        • Musculoskeletal
          • Ankle
          • Foot
          • Knee
          • Shoulder
          • Spine
          • Thigh
          • Wrist
        • OB/GYN – Clinical Studies
        • Ophthalmology
        • Point-of-Care
          • Pediatrics
        • Procedures
          • Arthrocentesis
          • FAST and E-FAST
          • Lumbar Puncture
          • Nerve Block
          • Reduction
          • RUSH Protocol Procedures
          • Vascular Access
        • Sports Medicine
        • Vascular
          • Inferior Vena Cava
      • Education & Policy
        • Emergency Medicine
        • Medical School
        • OB/GYN
        • Pediatric Emergency Medicine
        • Prehospital Care
      • Hospital & Group Practice
        • Patient Satisfaction
    • Ultrasound Video Challenge
      • Abdomen
      • Airway
      • Aorta/IVC
      • Bladder
      • Breast
      • Cardiology
      • FAST Scan
      • Genitourinary
      • Intestinal/Biliary
      • Musculoskeletal Ultrasound Video Challenge
      • OB/GYN – Ultrasound Video Challenge
      • Ocular
      • Pulmonary
      • Renal
      • RUSH Protocol
      • Soft Tissue
      • Vascular Ultrasound Video Challenge
  • Conferences
  • In the Press
    • Press Coverage
    • Press Releases
  • Information Archive
  • Newsletter Articles
  • SonoSim Partners
  • Testimonials Archive
  • Ultrasound Review

Search

Learn More About the SonoSim Ultrasound Training Solution

    Contact Us  
×

Product Inquiry and General Contact

Please complete this form and a representative will be in touch with you shortly.


* Denotes a required field.

Create a Support Ticket

Complete the form to receive technical assistance. For a personal session to overview product features, please write "Product Overview" as the subject.


* Denotes a required field.

UPID Tag The UPID is a four or five digit number that can be found on a small black tag attached to the cord of your SonoSim® Probe.


Previous Article Ultrasound Assessment of Volume Responsiveness in Critically Ill Surgical Patients: Two Measurements Are Better than One Tuesday, February 12, 2019
Next Article A National Point‐of‐Care Ultrasound Competition for Medical Students Tuesday, April 23, 2019
SonoSim LogoSonoSim LogoTagline
The Easiest Way to Learn & Teach UltrasonographyTM
Social Media
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Instagram
Join the community for exclusive ultrasound tips and more!
Subscribe
X

Sign Up for the SonoSim Newsletter

Receive ultrasound tips, product updates, industry news, and more!

Ultrasound Courses

  • Echocardiography Training
  • Emergency Ultrasound Training
  • Musculoskeletal Ultrasound Training
  • OBGYN Ultrasound Training
  • POCUS Ultrasound Training
  • Ultrasound-Guided Procedures

Group Programs

  • Physician Groups & Residency Programs
  • Medical Schools
  • Simulation Centers
  • DMS Programs
  • Physician Associate Programs
  • Nursing Schools

Legal & Policies

  • Patents
  • Privacy
  • End User Agreement
  • Terms of Service
  • Security Overview
  • ar عربى
  • de Deutsche
  • en English
  • es Español
  • en Français
  • it Italiano
  • ru Русский
Copyright © SonoSim, Inc. All Rights Reserved. View Patents
We use cookies to enhance site navigation, analyze site usage, assist in marketing efforts, and improve our members’ experiences. Visit our Privacy Policy for more information.

Need Help?

Click here to chat!

1