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As this requires the rescuer to listen for the patient"s breathing to place properly, it can only be done in the breathing patient. It is more time-consuming than orotracheal intubation and may clog easily. With the advent of pre-hospital CPAP, the incidence of nasal intubations have decreased. Nasotracheal intubation is indicated for:
- Patients with increased work of breathing and fatigue
- Trismus
- Status seizures
- Cervical spine injuries
- Decreased atlanto-occipital movement
- Medication induced respiratory depression
- An alternate means of obtaining an airway on a difficult patient
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