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

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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;105:1420-1424
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
0003-2999
Language
English
URI
http://hdl.handle.net/10371/66605
DOI
https://doi.org/10.1213/01.ane.0000281156.64133.bd
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College of Dentistry/School of Dentistry (치과대학/치의학대학원)Dept. of Dentistry (치의학과)Journal Papers (저널논문_치의학과)
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