Effect of 90° counterclockwise rotation of the endotracheal tube on its advancement through the larynx during nasal fiberoptic intubation in children: a randomized and blinded study

ConclusionA change in ETT tip orientation from bevel facing left to facing down by 90° CCR, leads to a significantly higher first‐attempt success rate by nasal approach in children. We believe the ETT should be rotated before insertion into the nostril to ensure that full 90° CCR of the tip has been accomplished.

http://onlinelibrary.wiley.com/resolve/doi?DOI=10.1111%2Fpan.12836

Source: Pediatric Anesthesia - January 7, 2016 Category: Anesthesiology Authors: Dinesh K. Choudhry, B. Randall Brenn, Malgorzata Lutwin‐Kawalec, Karen Sacks, Susmita Nesargi, Zhaoping He Tags: Original Article Source Type: research