Traumatizing effects of blind oral intubation using the Augustine Guide

Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
M KautzkyR D Fitzgerald

Abstract

This study evaluated whether the Augustine Guide, a device enabling blind oral intubation, carries a high risk for laryngopharyngeal trauma in routine airway management. Telescopic laryngoscopic or microlaryngoscopic examinations were performed in 20 patients before and immediately after blind oral intubation, as well as 24 hours postoperatively. Intubation using the Augustine Guide was successful in all but one patient. However, 18 of 20 patients showed evidence of considerable trauma to the laryngopharyngeal region. Vallecular edema, epiglottic swelling, mucosal lacerations, and vocal cord hematomas, causing a high percentage of postoperative discomfort, occurred in a very uniform pattern. It was concluded that blind oral intubation using the Augustine Guide should not be used in routine airway management but should only be used in special indications.

References

Jun 1, 1978·British Journal of Anaesthesia·V Kambic, Z Radsel
Apr 1, 1992·Anaesthesia·M J BucxR Niesing
Mar 1, 1992·Anesthesia and Analgesia·M J BishopA F Tencer
Aug 1, 1988·British Journal of Anaesthesia·M E WilsonP Lesser
Mar 1, 1987·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·J W McIntyre
Jul 1, 1985·Canadian Anaesthetists' Society Journal·S R MallampatiP L Liu
Jan 1, 1972·Folia phoniatrica·A SonninenJ Fokkens
Nov 1, 1984·Anaesthesia·R S Cormack, J Lehane
Apr 1, 1980·Clinical Otolaryngology and Allied Sciences·L F WaltsA Cohen
Aug 1, 1971·The Annals of Otology, Rhinology, and Laryngology·F H McGovernL J Edgemon

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Citations

Mar 7, 2002·Journal of Clinical Anesthesia·Irwin Brown, Bruce Kleinman
Apr 20, 1999·The American Journal of Forensic Medicine and Pathology·K P RavenR C Harruff

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