Endobronchial suction catheter guided nasotracheal intubation with preformed nasotracheal tube

Nasotracheal intubation is commonly used in surgery requiring space of the orofacial field. The endotracheal tube used for nasotracheal intubation is either a conventional tube or a preformed nasotracheal tube considering nasal passage. Conventional nasotracheal intubation starts with blind passage of an endotracheal tube via the nostril followed by laryngoscopy-assisted intubation through the vocal cord with or without the aid of Magill forceps. During intubation, anesthesiologists may experience interruption of endotracheal tube passage because of resistance in nasal cavity. It is known that any excessive force may significantly increase the risk of damage to nasal structures. One way to prevent this damage is Guided-technique. Guided technique is easier, cheaper and safer than conventional technique. Here we report a case of successful endotracheal intubation with preformed nasotracheal tube following endobronchial suction catheter guidance. Guided technique with endobronchial suction catheter is useful for nasotracheal intubation with preformed nasotracheal intubation tube.