Rsmith398

Our service does have the option of RSI or a Nasal tube for patients. It is normally up to the decision of the medic and his view on the pt condition. We do not tend to put down someone in CHF or exacerbation of COPD. As for an earlier post, the use of topical medications for nasal intubation. We do use them.. we use several things to help facilitate the tube going in a little easier. First we use something such as Afrin to help with the vessels and reduce bleeding; next we use liquid lidocaine out of tube to shoot it up into the nose and down the back of the nasophrynax. Then a Nasal Trumpet is use with lidocaine jelly on it to help numb up the passage a little more and help dilate the nare we are going to use. The trumpet is removed and the tube is inserted with lidocaine jelly on it for lubrication of the tube also. In the past this seems to work and I have had some patients who will ask for it, rather than suffering with the condition that they may be dealing with.