Submental intubation, an efficient airway management technique in patients with sever maxillofacial injuries.

Details of the procedure:-

After Lidocaine 2% with adrenaline infiltration subcutaneously and a paramedian skin incision was placed in the submental region, one finger's breadth medial to the lower border of the mandible.A closed curved artery forceps was then used to dissect a tract bluntly through subcutaneous tissue, platysma, deep cervical fascia, and mylohyoid muscle. The mucosa of the floor of the mouth was then penetrated anterolateral to the submandibular duct and orifice . The endotracheal tube was then detached from the catheter mount. First the pilot balloon hold at luer lock site and pulled out through the submittal tunnel ,then endotracheal tube was grasped and pulled inferiorly to emerge through the incision in the submental skin. The anaesthetic tubing was then reconnected. At this point, the position of the tube was reassessed and any adjustments made. A stay suture was placed through tape positioned around the endotracheal tube to minimise perioperative movement.
*We are doing with the available Flexometallic endotracheal tube, where the connector is not detachable.

*Special thanks to Dr.Laxmikant Mishra, Dr.Saumitra Satapathy and Dr.Santosh Panigrahi for conducting the procedure.

Disclaimer:
This video is only for educational purpose. The procedure should be attempted only by trained medical professionals under expert supervision. Patient's/Relative's consent was obtained prior to filming this video.

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