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ORIGINAL ARTICLE
Year : 2020  |  Volume : 7  |  Issue : 1  |  Page : 65-69

The use of USB endoscope (borescope) to guide nasal tracheal intubation: a pilot study


1 Department of Anesthesiology and Surgical Intensive Care, Alexandria University Hospitals, Alexandria, Egypt
2 Department of Anesthesiology and Surgical Intensive Care, Alexandria University Hospitals, Alexandria; Department of Anesthetics, Harrogate and District NHS Foundation Trust, Harrogate, UK, Egypt

Correspondence Address:
MBBCh, MSc, FRCPC, MD, ABPM Mohammad H.I Ahmad Sabry
Department of Anesthesiology and Surgical Intensive Care, Khartoum Square, Shalalat, Alexandria 21111
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/roaic.roaic_86_18

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Background In spite of the presence of multiple videolaryngoscopes in the market, financial restrains prevent their routine use in many clinical practices. Patients and methods The endoscope USB camera was inserted in a conventional endotracheal tube which could be inserted nasally (6.5 or 7 cuffed endotracheal tube). Sterile K-Y lubricating gel was used to facilitate the insertion of the borescope. This was used for nasal intubated in eight patients. Results Nasal intubation trials were done by an experienced physician for eight patients. All eight patients were Mallampati class 1 or 2. One patient was intubated at the first attempt, three were intubated at the second attempt, and one was intubated at the third attempt. There was failure in three cases (secretions and blood). Conclusion Borescope can be used as a cheap option for nasal airway management. Randomized studies need to be done for its evaluation compared with other videolaryngoscopy devices.


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