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Total control introducer-aided nasotracheal intubation using a videolaryngoscope in an anticipated difficult airway: a novel technique
  1. Abhishek Kumar1,
  2. Nishkarsh Gupta1,
  3. Vinod Kumar1 and
  4. Tanvi Bhargava2
  1. 1Onco-Anaesthesiology and Palliative Medicine, All India Institute of Medical Sciences, New Delhi, Delhi, India
  2. 2Anaesthesiology, Dr RML Hospital and PGIMER, New Delhi, Delhi, India
  1. Correspondence to Dr Nishkarsh Gupta; drnishkarsh{at}


Nasotracheal intubation can be challenging due to undesirable incidence of nasal bleeding and soft tissue injuries. The bleeding can obscure glottis visualisation, increase the total intubation time, the risk of aspiration and oxygen desaturation. Total control introducer is a new airway adjunct with a flexible shaft, articulating tip and an intuitive depth control system, which can be used in difficult airway scenarios to improve the success of nasal intubations.

  • anaesthesia
  • head and neck cancer

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  • Contributors AK and NG were involved in conception, design, supervision, findings, materials, data collection, analysis, literature review, writing, critical review and approved the final version of the manuscript. VK and TB contributed for findings, literature review, writing, critical review and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.