Current guidelines recommend the oral route for endotracheal intubation.The rationale for this recommendation is that nasotracheal intubation is associated with a greater risk for

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Nasotracheal intubation is associated with an increased risk for sinusitis,which may contribute to ventilator-associated infection.Nasal intubation is contraindicated in patients with basilar skull fracture.The procedure is sometimes performed in patients with cervical spine injury; the procedure can be done without hyperextending the neck.Patients with nasotracheal tubes are generally more comfortable and have a greater ability to "mouth words."

Current Guidelines Recommend the Oral Route for Endotracheal Intubation