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A new technique to reduce epistaxis and enhance navigability during nasotracheal intubation

Cited 29 time in Web of Science Cited 35 time in Scopus
Authors
Seo, Kwang Suk; Kim, Jae-Hun; Yang, Sol Mon; Kim, Hyun Jeong; Bahk, Jae-Hyon; Yum, Kwang Won
Issue Date
2007
Publisher
Lippincott, Williams & Wilkins
Citation
Anesth Analg 2007;105:1420-4
Keywords
Epistaxis/etiology/*prevention & controlIntubation, Intratracheal/*adverse effects/*instrumentation/methodsNasal Cavity/physiologyStethoscopes
Abstract
BACKGROUND: Epistaxis is the most common complication of nasotracheal intubation. We compared endotracheal tubes (ETT) obturated with an inflated esophageal stethoscope with normal ETTs with regard to the prevention of epistaxis and navigability, both with and without thermosoftening. METHODS: Dental surgical patients requiring nasotracheal intubation were randomly allocated into 1 of 4 groups (n = 50 each): Group 1, nonthermosoftened ETTs; Group 2, nonthermosoftened ETTs obturated with an inflated esophageal stethoscope; Group 3, thermosoftened ETTs; and Group 4, thermosoftened ETTs obturated with an inflated esophageal stethoscope. Navigability of ETTs through the nasal cavity and postintubation epistaxis were evaluated. RESULTS: Navigability of ETTs through the nasal cavity was the worst in Group 1 (P = 0.001). Epistaxis was the most severe in Group 1, similar between Groups 2 and 3, and the least severe in Group 4 (P < 0.001). CONCLUSION: The use of esophageal stethoscope-obturated ETTs was effective, and comparable to thermosoftening, in preventing epistaxis associated with nasotracheal intubation. Thermosoftened, obturated ETTs were more effective than simple thermosoftened ETTs in reducing epistaxis.
ISSN
1526-7598 (Electronic)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=17959976

http://hdl.handle.net/10371/23388
DOI
https://doi.org/10.1213/01.ane.0000281156.64133.bd
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College of Medicine/School of Medicine (의과대학/대학원)Anesthesiology and Pain Medicine (마취통증의학전공)Journal Papers (저널논문_마취통증의학전공)
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