Airway management is core for an anesthesiologist. Airway difficulties
during induction of general anesthesia are a concern for anesthesiologists.
Hence a good clinical judgment is important for selecting the method for airway
intervention. In patients of Mallampatti classification - IV or reduced mouth
opening there are three methods for securing the airway. The most advanced and
recommended method is awake nasal intubation using fibro-optic bronchoscope.
The second option is retrograde intubation. The last method is blind nasal
intubation. This method was regularly used to intubate patients of nil mouth
opening before the fibro-optic bronchoscope was introduced. In experienced
hands of an anesthesiologist, this is a very good method to secure the airway.
It requires very little time compared to the first two methods and does not
require expensive instruments. In today?s time blind nasal intubation is not
performed regularly as the modern anesthesiologists are more dependent on
instruments such as video- laryngoscope etc. However in centers where such
expensive instruments are not available or in remote centers, blind nasal
intubation can be the key for securing the airway for patients with difficult
airway. Here we report a patient who is a case of squamous cell carcinoma of
the cheek with reduced mouth opening posted for right wide excision of lip with
forehead flap sos radical neck dissection managed with blind nasal intubation.
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