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If you wish to respond to a paper or other item already published in the BJA, please go to the abstract/full text version of that item and click on the link "E-Letters: Submit a response to the article".

Electronic Letters to:

Clinical Investigations:
S. Metz
Perioperative use of the modified nasal trumpet in 346 patients
Br. J. Anaesth. 2004; 92: 694-696 [Abstract] [Full text] [PDF]
*E-letters: Submit a response to this article

Electronic letters published:

[Read E-letter] FiO2 for nasal trumpet
Xenia P David, -none-   (9 November 2005)

FiO2 for nasal trumpet 9 November 2005
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Xenia P David,
resident physician in anesthesiology
National Kidney and Transplant Institute,
-none-

Send letter to journal:
Re: FiO2 for nasal trumpet

I am a third year anesthesiology resident and I figured, during my years of training, that I should observe my consultants, get the reason behind every practice, and decide on my own what methods to use.

One of these methods is the use of a modified nasal trumpet, or MNT, as you have described. I could not find a discussion of it in any text book, but found it occasionally useful for delivering oxygen to sedated patients.

One time my fellow doctor saw me doing this and challenged its use. I could not counter that it does deliver more FiO2 than a regular nasal cannula since I couldn't give any known measurements; there is of course the difficulty of air entrained through the other nostril. He added that it looked ludicrous and that I would not find its use in any other hospital.

I am glad to have downloaded your article over the Internet, as I can at least say that other doctors have used the MNT and had sufficient faith in it to conduct a study. I still can't explain the FiO2, though.

Conflict of Interest:

None declared