{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:01:15Z","timestamp":1787169675799,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 22-year man with human immunodeficiency virus ((HIV)-positive status for excision of huge, painless swelling in the floor of the mouth was admitted. The swelling occupied the anterior part of the neck; intraoral part of the swelling was extended downward and anteriorly in the sublingual space deviating the tongue. Fiberoptic intubation has helped immensely in handling many difficult airway scenarios. In low-resource setting, often multiple-use fiberoptic is used due to which fear of risk of cross-contamination from blood, secretions, or suctioning is there. The challenges were to secure the airway with difficult bag-mask ventilation, difficult laryngoscopy, difficult video-laryngoscopy and nonavailability of single-use fiberoptic bronchoscope and to avoid tracheostomy. This case report illustrates how blind nasal intubation (BNI) under conscious sedation can help avoid tracheostomy or retrograde endotracheal intubation.<\/jats:p>","DOI":"10.4103\/njms.njms_35_25","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T13:00:33Z","timestamp":1780491633000},"page":"371-373","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Capnography-guided blind nasal intubation under conscious sedation for airway management in a plunging ranula"],"prefix":"10.4103","volume":"17","author":[{"given":"Vikash","family":"Bansal","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Deoghar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sony","family":"Sony","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Deoghar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivam","family":"Shekhar","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Deoghar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kausiki","family":"Poddar","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Critical Care and Pain Medicine, All India Institute of Medical Sciences, Deoghar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"R1-20260604","doi-asserted-by":"crossref","first-page":"181","DOI":"10.17245\/jdapm.2015.15.3.181","article-title":"Blind nasal intubation as an alternative to difficult intubation approaches","volume":"15","author":"Yoo","year":"2015","journal-title":"J Dent Anesth Pain Med"},{"key":"R3-20260604","doi-asserted-by":"crossref","first-page":"69","DOI":"10.3126\/ajms.v15i3.59348","article-title":"Capnography-assisted airway management by awake blind nasal intubation in maxillofacial surgeries: An observational study","volume":"15","author":"Kokate","year":"2024","journal-title":"Asian J Med Sci"},{"key":"R4-20260604","doi-asserted-by":"crossref","first-page":"79","DOI":"10.36518\/2689-0216.1790","article-title":"Blind nasal intubation as a rescue strategy in difficult airway management","volume":"6","author":"Chowdhury","year":"2025","journal-title":"HCA Healthc J Med"},{"key":"R5-20260604","doi-asserted-by":"crossref","first-page":"54","DOI":"10.4103\/2231-0746.186126","article-title":"Retrospective evaluation of airway management with blind awake intubation in temporomandibular joint ankylosis patients: A review of 48 cases","volume":"6","author":"Sankar","year":"2016","journal-title":"Ann Maxillofac Surg"},{"key":"R7-20260604","doi-asserted-by":"crossref","first-page":"143","DOI":"10.4103\/joacp.JOACP_140_20","article-title":"Blind nasal intubation in a 'breathing'manikin- An idea","volume":"38","author":"Kumar","year":"2022","journal-title":"J Anaesthesiol Clin Pharmacol"}],"container-title":["National Journal of Maxillofacial Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_35_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:10:25Z","timestamp":1787166625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/njms.njms_35_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/njms.njms_35_25","relation":{},"ISSN":["0975-5950","2229-3418"],"issn-type":[{"value":"0975-5950","type":"print"},{"value":"2229-3418","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2025-04-27","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-29","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}