Journal of Clinical Anesthesia (2015) 27, 181–184
Correspondence Another reason for easier right nasal intubation than for left nasal intubation☆,☆☆ To the Editor: We read with great interest the recent study by Boku et al [1], which demonstrates that the intubation time was shorter for patients who were intubated via the right nostril than via the left nostril. We agree with their results. They also proposed some reasons for this. However, they did not take into account the direction and shape of the tracheal tube tip that was advanced from a choana into the glottis before attempting to rotate the tube. Apparently, because the bevel is cut from the left side, a tube that approaches from a right choana slides more easily into the glottis than a tube that approaches from the left (Fig. 1). Although this explanation is not generally considered, to us, it is easily understood intuitively.
Koh Mizutani, MD (Assistant Chief) Nobuko Uno, DDS (Staff) Operating Theater, Osaka Rosai Hospital 1179-3 Nagasonecho, Kita-ku, Sakai 591-8025, Japan E-mail address: [email protected] http://dx.doi.org/10.1016/j.jclinane.2014.11.004
Reference [1] Boku A, Hanamoto H, Hirose Y, Kudo C, Morimoto Y, Sugimura M, et al. Which nostril should be used for nasotracheal intubation: the right or left? A randomized clinical trial. J Clin Anesth 2014;26:390-4.
Is the newly designed distal tip of the LMA Supreme an advantage or a disadvantage? To the Editor,
glottis
Correspondence Another reason for easier right nasal intubation than for left nasal intubation☆,☆☆ To the Editor: We read with great interest the recent study by Boku et al [1], which demonstrates that the intubation time was shorter for patients who were intubated via the right nostril than via the left nostril. We agree with their results. They also proposed some reasons for this. However, they did not take into account the direction and shape of the tracheal tube tip that was advanced from a choana into the glottis before attempting to rotate the tube. Apparently, because the bevel is cut from the left side, a tube that approaches from a right choana slides more easily into the glottis than a tube that approaches from the left (Fig. 1). Although this explanation is not generally considered, to us, it is easily understood intuitively.
Koh Mizutani, MD (Assistant Chief) Nobuko Uno, DDS (Staff) Operating Theater, Osaka Rosai Hospital 1179-3 Nagasonecho, Kita-ku, Sakai 591-8025, Japan E-mail address: [email protected] http://dx.doi.org/10.1016/j.jclinane.2014.11.004
Reference [1] Boku A, Hanamoto H, Hirose Y, Kudo C, Morimoto Y, Sugimura M, et al. Which nostril should be used for nasotracheal intubation: the right or left? A randomized clinical trial. J Clin Anesth 2014;26:390-4.
Is the newly designed distal tip of the LMA Supreme an advantage or a disadvantage? To the Editor,
glottis
