Anesthesiologists are involved: Anesthesiologists are involved

risk of sinusitis in a patient who will be mechanically ventilated for more than 24 hours;

use of a smaller-diameter tube will also increase the difficulty of subsequent airway suctioning and fiberoptic bronchoscopy.

Facial and pharyngeal trauma:

• Facial and pharyngeal trauma:

• Serious skeletal derangements may be masked by apparently minor soft tissue damage

• Failure to identify an injury to the face or neck can lead to acute airway obstruction secondary swelling and hematoma.

• Laryngeal edema is also a risk patients who have suffered chemical or thermal injury the pharyngeal mucosa.

• indications for early intubation:

• Intra oral hemorrhage

• pharyngeal erythema

• change in voice

•