nasotrachealis

Nasotracheal refers to something that passes through or relates to both the nose and the trachea. In a medical context, it most commonly describes a nasotracheal tube, which is a type of airway management device. This tube is inserted through the nostril and advanced down into the pharynx, past the larynx, and into the trachea.

The primary purpose of a nasotracheal tube is to secure and maintain an open airway, allowing for ventilation and the removal of secretions. It is typically used when oral intubation is not possible or preferred, such as in cases of severe facial trauma, trismus (difficulty opening the mouth), or certain surgical procedures involving the mouth or jaw.

The insertion process involves navigating the nasal passages, which can sometimes be challenging due to anatomical variations or inflammation. Sedation and local anesthetic are often administered to facilitate the procedure and minimize patient discomfort. Once in place, the tube can be connected to a ventilator or used for manual ventilation.

Complications associated with nasotracheal intubation can include epistaxis (nosebleeds), mucosal damage, sinusitis, otitis media (ear infection), and rarely, penetration of the skull base. Despite these potential risks, nasotracheal intubation remains a valuable technique in emergency medicine and critical care for establishing definitive airway access.