Endotracheal cuff tear during awake fibreoptic guided nasotracheal intubation- an anaesthesiologist's nightmare - A CASE REPORT

Dr. Garima Anant; Dr. Aman Kaur Saini

Volume : IX, Issue : I, January - 2020

Endotracheal cuff tear during awake fibreoptic guided nasotracheal intubation- an anaesthesiologist's nightmare - A CASE REPORT

Dr. Garima Anant, Dr. Aman Kaur Saini

Abstract :

Various factors may contribute to the endotracheal tube cuff tear during nasotracheal intubation. We report a sharp nasal spur in the right nostril leading to failed cuff inflation. An 18 year old male with TM joint ankylosis was posted for gap arthroplasty. Twice after successful fie-optic guided nasotracheal intubation but failed cuff inflation via the right nostril, a successful attempt was made at nasotracheal intubation with cuff inflation via the left nostril. Cuff tear caused by a nasal spur is infrequent, but an anaesthesiologist should be aeast of this complication and its subsequent management during nasotracheal intubation.