Double Barrel Nasal Trumpets to Prevent Upper Airway Obstruction after Nasal and Non-Nasal Surgery

Anesthesiology Research and Practice
Macario CamachoSungjin A Song

Abstract

During anesthesia emergence, patients are extubated and the upper airway can become vulnerable to obstruction. Nasal trumpets can help prevent obstruction. However, we have found no manuscript describing how to place nasal trumpets after nasal surgery (septoplasties or septorhinoplasties), likely because (1) the lack of space with nasal splints in place and (2) surgeons may fear that removing the trumpets could displace the splints. The objective of this manuscript is to describe how to place nasal trumpets even with nasal splints in place. The authors describe techniques (Double Barrel Technique and Modified Double Barrel Technique) that were developed over three years ago and have been used in patients with obstructive sleep apnea (OSA) and other patients who had collapsible or narrow upper airways (i.e., morbidly obese patients). The technique described in the manuscript provides a method for placing one long and one short nasal trumpet in a manner that helps prevent postoperative upper airway obstruction. The modified version describes a method for placing nasal trumpets even when there are nasal splints in place. Over one-hundred patients have had nasal trumpets placed without postoperative oxygen desaturations. The Double...Continue Reading

References

Jun 1, 1978·Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology·J E RemmersA M Anch
Jan 1, 1988·British Journal of Anaesthesia·W J GallagherS J Power
Sep 1, 1986·Chest·P M SurattS C Wilhoit
Feb 1, 1972·Annals of Internal Medicine·R E WalshM A Sackner
Feb 1, 1981·The Laryngoscope·L E AfzeliusA M Risberg
Jan 1, 1993·The Laryngoscope·T Thompson, M A Frable
Oct 1, 1995·The European Respiratory Journal·G LiistroD O Rodenstein
Jun 22, 2000·Anesthesiology·C Dale McMillon
Nov 22, 2000·The Journal of Trauma·K SchadeA Michaels
Oct 11, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·A E SherL Nelson
Jan 24, 2007·International Journal of Pediatric Otorhinolaryngology·D J TweedieD M Albert
Mar 17, 2007·American Journal of Respiratory and Critical Care Medicine·Brian M McGinleyHartmut Schneider
Sep 20, 2007·Sleep & Breathing = Schlaf & Atmung·G Dave Singh, Mark Abramson
Nov 27, 2007·The Journal of Laryngology and Otology·Y BajajL C Knight
Oct 27, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Jaspal R SinghMohammed Zubair
Apr 30, 2010·Indian Journal of Dental Research : Official Publication of Indian Society for Dental Research·R VenkatM Vasantakumar
May 25, 2010·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Howard D Stupak
Jan 4, 2012·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·D J TweedieD M Albert
Feb 22, 2014·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Shuhua LiHongjin Shi
Sep 13, 2014·The Laryngoscope·Macario CamachoRobson Capasso
Dec 30, 2014·The Journal of Laryngology and Otology·A R KumarM Camacho
Jan 27, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Min SongShuhua Li
Nov 4, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Maximilian TraxdorfHeinrich Iro
Nov 1, 2016·Case Reports in Medicine·Macario CamachoRobson Capasso

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