Abstract
The Sri Lankan Journal of Anaesthesiology is the official journal of the College of Anaesthesiologists of Sri Lanka. It publishes clinical investigations, research articles, audits, case reports, review articles and CME articles relating to anaesthesiology, critical care and pain. It is published bi annually in January and June. Sri Lankan Journal of Anaesthesiology is included on DOAJ and Scopus.
Highlights
Following removal of the fibre-optic bronchoscope, the tube was connected to the anaesthesia circuit and bilateral air entry was checked
The bend of the tube was sitting just over the vocal cords with the Murphy eye opening plunging into the glottis
The kinked endotracheal tube (ETT) was removed under vision and a fresh cuffed ETT was inserted through a repeat nasal fibre-optic bronchoscopy
Summary
Awake fibre-optic nasal intubation was planned after upper airway anaesthesia and mild sedation. A prewarmed (for tube softening to make it atraumatic), well lubricated 7mm cuffed portex endotracheal tube was mounted on the fibre-optic device and inserted after adequate nasal preparation.. On visualization of the vocal cords and tracheal rings through the fibre-optic bronchoscope, the pre-mounted endotracheal tube (ETT) was gently pushed into the trachea and cuff inflated. Following removal of the fibre-optic bronchoscope, the tube was connected to the anaesthesia circuit and bilateral air entry was checked.
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