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Nasotracheal intubation was not widely practiced until the early 20th century.
Nasotracheal intubation carries a risk of dislodgement of adenoids and nasal bleeding.
In the context of failed orotracheal or nasotracheal intubation, either tracheotomy or cricothyrotomy may be performed.
A cricothyrotomy is nearly always performed as a last resort in cases where orotracheal and nasotracheal intubation are impossible or contraindicated.
Part I: Orotracheal and nasotracheal intubation success rates A meta-analysis of prehospital airway control techniques.
A tube is inserted through the nose (nasotracheal intubation) or mouth (orotracheal intubation) and advanced into the trachea.
If facial injuries prevent oraotracheal or nasotracheal intubation, a surgical airway can be placed to provide an adequate airway.
Magill devised a new type of angulated forceps (the Magill forceps) that are still used today to facilitate nasotracheal intubation in a manner that is little changed from Magill's original technique.
Despite the greater difficulty, nasotracheal intubation route is preferable to orotracheal intubation in children undergoing intensive care and requiring prolonged intubation because this route allows a more secure fixation of the tube.
Working at the Queen's Hospital for Facial and Jaw Injuries in Sidcup with plastic surgeon Sir Harold Gillies (1882-1960) and anesthetist E. Stanley Rowbotham (1890-1979), Magill developed the technique of awake blind nasotracheal intubation.
Another pioneer in this field was Sir Ivan Whiteside Magill (1888-1986), who developed the technique of awake blind nasotracheal intubation, the Magill forceps, the Magill laryngoscope blade, and several apparati for the administration of volatile anesthetic agents.