Article Text

Download PDFPDF

Inadvertent brain penetration during neonatal nasotracheal intubation.
  1. D Cameron,
  2. B A Lupton
  1. Department of Paediatrics, University of British Columbia, Vancouver, Canada.


    During routine nasal intubation of a premature infant, the endotracheal tube penetrated the brain. Bloodstained cerebrospinal fluid and neural tissue was apparent. Initial cranial sonography was normal, but the infant later developed extensive intracranial haemorrhage. Rotation of an endotracheal tube to facilitate insertion angles the bevel at the tip upwards, increasing risk of brain penetration. Great care is required during nasal intubation; use of a small feeding tube over which to slide an endotracheal tube may be helpful.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.