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Abstract
NASOTRACHEAL INTUBATION USING LIGHTWAND IN A PATIENT WITH ANTICIPATED DIFFICULT LARYNGOSCOPY: A CASE REPORT
Ravindra Kr. Gehlot*, Lalit Kr. Raiger, Ritu Verma
ABSTRACT
Introduction: Oral cancer is sixth most common cancer worldwide and the most common cancer among males in India. Anaesthetic concerns during surgical treatment of which includes airway difficulty, mainly because of restricted mouth opening and less interincisor gap. Case presentation: Here we are reporting a successful nasotracheal intubation using light wand in a case of carcinoma of buccal mucosa (mallampatti grade 4 and mouth opening 1 finger breadth) posted for reconstructive surgery for removal of dead bone. Conclusion: The light wand is a durable, portable, atraumatic and cost-effective option for difficult tracheal intubation. Therefore, the teaching and practice of light wand intubation should be encouraged in learning period. It will be particularly useful in hospitals without adequate facilities of fibre-optic bronchoscope, video laryngoscope or Intubating LMA.
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