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Messages - greengrass

#1
General Discussion / bleeding after nasal intubation
March 20, 2009, 04:54:14 AM
I generally thought that I was pretty smooth with nasal intubations.  However, lately, I have encountered one bleeding incidence where I almost lost the airway.  I usually apply Afrin to the nares, soften the tube in warm water, lube it and dilate the nostrils before I intubate.  Even with these, I had an episode of uncontrolled bleeding through the nose that when I DL the patient, I almost couldn't see anything.  Someone suggested red rubber catheter.  Does anyone have experience with it?  How do we use it?  Any better ideas? Thanks!