Wednesday, February 15, 2012
Today during rounds a discussion about oral vs nasal intubation broke out. A tube down Kamryn's nose or a tube down her throat. Both have risks for vocal cord and throat damage. Nasal intubation can cause sinus infections and bleeding, but allows the person to have use of their mouth. An accidental oral extubation can cause severe damage to the vocal cords and throat, but less infection type issues. The question is would Kamryn benefit from an nasal intubation. I am told it is more comfortable on the patient and has less long term effects on her oral development. She could have her pacifier back. Holding her would be easier if she were intubated nasally. If you had to be intubated what orifice would you prefer?