More on Nasotracheal intubations

It's important to use Afrin or Neosynephrine in whatever nostril you pick.  You can soak some q-tips in an Afrin solution and then put them in  the nose.  This will vasoconstrict and help prevent bleeding.  Another trick is to get a small nasal trumpet, and coat it with lidocaine jelly.  Stick it in the nose, and leave it there.  Then get a bigger nasal trumpet and coat it with lidocaine jelly.  Give it time to take effect.  Use more Afrin.

Then use the Endotrol tube (see picture) if you have one.  Pull the little loopy thing and that pulls the tip anteriorily.