Park Dong Ho, Lee Chia An, Jeong Chang Young, Yang Hong-Seuk
Department of Anesthesiology and Pain Medicine, Daejeon Eulji University Medical Center, Eulji University, School of Medicine, Daejeon, Korea.
Anesth Pain Med (Seoul). 2021 Jul;16(3):232-247. doi: 10.17085/apm.21040. Epub 2021 Jul 30.
Nasotracheal intubation is used as a basic method for airway management, along with orotracheal intubation under anesthesia and intensive care. It has become an effective alternative method to orotracheal intubation with increased benefits of offering better mobility and surgical field in oral and maxillofacial surgery and possibly in trauma and critically ill patients. Nasotracheal intubation is performed through a relatively narrow nasal cavity; therefore, additional precautions are needed. Accordingly, nasotracheal intubation methods have evolved over the years with accumulated clinical experience and improved instruments to facilitate safe intubation with reduced complications. Therefore, in this review article, we summarize the basic anatomy of the nasal airways to clarify the precautions, delineate the history and development of various methods and instruments, and describe the indications, contraindications, complications, and preventive methods of nasotracheal intubation.
鼻气管插管与麻醉和重症监护下的口气管插管一样，是气道管理的基本方法。它已成为口气管插管的一种有效替代方法，在口腔颌面外科以及可能在创伤和重症患者中具有更好的活动度和手术视野等更多优势。鼻气管插管通过相对狭窄的鼻腔进行；因此，需要额外的预防措施。相应地，多年来随着临床经验的积累和器械的改进，鼻气管插管方法不断演变，以促进安全插管并减少并发症。因此，在这篇综述文章中，我们总结鼻气道的基本解剖结构以阐明预防措施，描述各种方法和器械的历史与发展，并阐述鼻气管插管的适应证、禁忌证、并发症及预防方法。
