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A. Ahmed-Nusrath, J.L. Tong, J.E. Smith  British Journal of Anaesthesia 

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Presentation on theme: "A. Ahmed-Nusrath, J.L. Tong, J.E. Smith  British Journal of Anaesthesia "— Presentation transcript:

1 Pathways through the nose for nasal intubation: a comparison of three endotracheal tubes 
A. Ahmed-Nusrath, J.L. Tong, J.E. Smith  British Journal of Anaesthesia  Volume 100, Issue 2, Pages (February 2008) DOI: /bja/aem350 Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 Diagrammatic coronal section through the mid-nose showing the two main pathways for nasal intubation. The lower pathway lies along the floor of the nose, underneath the inferior turbinate. The upper pathway lies above the inferior turbinate, below the middle turbinate. Migration of tubes between pathways is usually prevented by the medial border of the inferior turbinate, which approximates to the nasal septum. British Journal of Anaesthesia  , DOI: ( /bja/aem350) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 Endoscopic images of right nostrils. The endoscopist is standing behind the head of the supine patient, so that the floor of the nose is at the top of the visual field. (a) The endoscope is inserted above the tube and advanced into the nostril. The tube lies in the lower pathway underneath the inferior turbinate, against the base of the septum. (b) The endoscope is inserted below the tube. The tube lies in the upper pathway superomedial to the inferior turbinate. (c) The endoscope is inserted above the tube. The tube is in the upper pathway, compressing the middle turbinate. British Journal of Anaesthesia  , DOI: ( /bja/aem350) Copyright © 2008 British Journal of Anaesthesia Terms and Conditions


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