Simultaneous oral and nasal tracheal intubation utilizing a fiberoptic scope in a patient with facial trauma.

We report a case of an oral intubation in a facial trauma patient that required exchanging the oral tube to a nasal endotracheal tube. This was accomplished by utilizing the fiberoptic bronchoscope to introduce a nasal tracheal tube beside the oral tube prior to removal of the oral tube from the trachea. This allowed continuation of oxygenation and ventilation until the airway was subsequently secured with the nasal tracheal tube. This approach may help avoid the loss of the airway and subsequent intervention with a surgical airway under poor conditions.