THREE POINTS OF ANCHORING TECHNIQUE FOR SECURING NASAL ENDOTRACHEAL INTUBATION IN MAXILLOFACIAL AND ORAL SURGERIES.

Dr. Banerjee Shamol; Dr. Chandrakant R. Gharwade; Dr. Mukund Parchandekar; Dr. Ameya Bindu; Dr. Fidvi Alâ€“Iquan J

Volume : VI, Issue : IV, April - 2016

THREE POINTS OF ANCHORING TECHNIQUE FOR SECURING NASAL ENDOTRACHEAL INTUBATION IN MAXILLOFACIAL AND ORAL SURGERIES.

Dr. Banerjee Shamol, Dr. Chandrakant R. Gharwade, Dr. Mukund Parchandekar, Dr. Ameya Bindu, Dr. Fidvi Al Iquan J

Abstract :

 Context: Vista of facial surgeries done on face requiring frequent change of the head in different positions by plastic & Maxillofacial surgeons mandate safe and secured fixing of the ET Tube. Aim: This study was aimed at assessing the effectiveness of securing nasal tube by Three points of Fixations practiced by us and its advantages over other popularly followed methods of ET tube fixation in maxillofacial surgeries. Material Methods: A prospective observational study was done over a period of ten years which included all maxillofacial surgeries requiring Nasal endotracheal intubation done in our institutes . Locally available materials in the form of tape gauze & corrugated extention tube were used to secure the nasal ETT. Effectiveness was assessed in terms of ease and reproducibility of the procedure, frequency of slippage of the tube on head movement, obstruction and difficulty in assessing facial symmetry caused to the operating surgeon. The integrity of the connection was assessed physically and monitored throughout the course of the anaesthesia. Result: Of all the 560 patients included in the study over a period of 10 years, there was no incidence of kinking , dislodgments or Accidental Extubation of the ET tube. Conclusion: Three points of anchoring for Securing Nasal ET tube was easy & followed in all cases. It is a noninvasive , quick, sturdily secured technique, reliable, minimal time consuming, Giving good exposure for assessment of facial symmetry and at a low cost with readily available material, useful for intraoperative & perioperative anaesthesia & in ICU patients.