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Scholars Journal of Medical Case Reports | Volume-13 | Issue-11
Management of Unpredictable Difficult Nasotracheal Intubation in the Era of COVID-19: A Case Report
Mohammed RABI ANDALOUSSI, Rida TOUAB, Khalil MOUNIR, Abdelhamid JAAFARI, Mustapha BENSGHIR, Hicham BALKHI
Published: Nov. 7, 2025 | 43 45
DOI: https://doi.org/10.36347/sjmcr.2025.v13i11.016
Pages: 2734-2736
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Abstract
During COVID19 pandemic, anesthesiologists are vulnerable to contract the infection. They face many situations considered at high risk of aerosolization. Here we describe an approach to manage the risks to anesthesia provider while maintaining safety, optimal and high-quality care. Airway of patient undergoing maxillofacial surgery was successfully secured by passing Eschmann bougie through the nasopharyngeal route assisted by McGrath videolaryngoscope. Fiber optic intubation was avoided. We suggest using a Gum Elastic Bougie from the first attempt for nasal intubation in patients with unpredictable difficult nasotracheal intubation during COVID-19 pandemic in order to minimize the risk of aerosolization.