Capnography-guided blind nasal intubation under conscious sedation for airway management in a plunging ranula.

Authors

Vikash Bansal, Sony Sony, Shivam Shekhar, Kausiki Poddar

Published in

National journal of maxillofacial surgery. Volume 17. Issue 2. Pages 371-373. Epub Jun 03, 2026.

Abstract

A 22-year man with human immunodeficiency virus ((HIV)-positive status for excision of huge, painless swelling in the floor of the mouth was admitted. The swelling occupied the anterior part of the neck; intraoral part of the swelling was extended downward and anteriorly in the sublingual space deviating the tongue. Fiberoptic intubation has helped immensely in handling many difficult airway scenarios. In low-resource setting, often multiple-use fiberoptic is used due to which fear of risk of cross-contamination from blood, secretions, or suctioning is there. The challenges were to secure the airway with difficult bag-mask ventilation, difficult laryngoscopy, difficult video-laryngoscopy and nonavailability of single-use fiberoptic bronchoscope and to avoid tracheostomy. This case report illustrates how blind nasal intubation (BNI) under conscious sedation can help avoid tracheostomy or retrograde endotracheal intubation.

PMID:
42422797
Bibliographic data and abstract were imported from PubMed on 09 Jul 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.