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British Journal of Anaesthesia, 2003, Vol. 90, No. 3 388-391
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

A modified nasal trumpet to facilitate fibreoptic intubation

S. Metz*,1 and C. Beattie2

1 Anesthesia Service, MCP Hospital, 3300 Henry Avenue, Philadelphia, PA 19129-1191, USA. 2 Department of Anesthesiology, New York University School of Medicine, 400 East 34th Street, Room 626, New York, NY 10016, USA

Corresponding author. E-mail: samuel.metz@drexel.edu
{dagger}LMA® is the property of Intavent Limited.

Background. The modified nasal trumpet (MNT) is a standard nasopharyngeal airway with an added distal fenestration and fitted with a 15 mm adaptor to permit connection to an anaesthesia circuit.

Methods. Based on its successful use as an emergency device in the ‘cannot intubate, cannot ventilate’ scenario, we considered that the MNT would aid fibreoptic intubation by providing a patent airway, spontaneous ventilation, and inhalation anaesthesia during the procedure. We report use of the MNT for this purpose seven times in six patients with difficult airways.

Results. In each case, the MNT allowed oxygenation and general anaesthesia while maintaining spontaneous ventilation when awake intubation was unsuccessful or not possible.

Conclusion. The MNT has a place in the operating room suites as a useful airway management device.

Br J Anaesth 2003; 90: 388–91


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