Nasotracheal intubation under curve-tipped suction catheter guidance reduces epistaxis

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Yoshinari MorimotoHitoshi Niwa

Abstract

Nasotracheal intubation (NTI) has greater potential for trauma of nasopharyngeal mucosa than orotracheal intubation. The present study investigated the success rate of NTI and frequency of nasal bleeding using a curve-tipped suction catheter (CTSC) to guide nasotracheal tube advancement. Subjects comprised 131 adult patients who under-went NTI. Subjects were randomly divided into two groups: a) NTI under CTSC guidance (G[+] group). The CTSC (14 Fr) was first inserted through the tracheal tube, with the tip of the CTSC emerging from the distal end of the tube. The curved tip was directed ventrally. Both tracheal tube and CTSC were advanced together through the nasopharynx; b) NTI without CTSC guidance (G[-] group). The tracheal tube was advanced into the nasal cavity and passed into the pharynx without CTSC guidance. The time required to pass the endotracheal tube through the nasal cavity (nasal passage time), success rate of nasal passage with nasotracheal tube, and the incidence and severity of nasal bleeding were compared. Success rate for nasal passage was 100% in the G(+) group (62/62) and 82.6% in the G(-) group (57/69; P = 0.0006). Frequency of nasal bleeding was significantly lower in the G(+) group (21/62, 33.9%) than i...Continue Reading

References

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Citations

Mar 18, 2011·Anesthesia Progress·Allen WongKonstantin J Ovodov
Apr 18, 2014·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Kazuna SugiyamaAtsushi Kohjitani
May 3, 2008·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Maria UriaSteven B Backman
Nov 26, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Takuro SanukiJunichiro Kotani
Oct 23, 2008·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Kimiko KameyamaJingo Kusukawa
May 27, 2008·Journal of Clinical Anesthesia·Matthew J Krebs, Tetsuro Sakai
Jun 11, 2015·Anesthesia Progress·Yoshinao AsahiJunichiro Kotani
Oct 16, 2016·Journal of Anesthesia·Ken ShoharaTukasa Yamamuro
Dec 5, 2017·Anesthesia Progress·Makoto TerumitsuKenji Seo
Jul 23, 2011·The Journal of Craniofacial Surgery·Burak ErsoyTümay Umuroğlu
Jan 20, 2018·Journal of Dental Anesthesia and Pain Medicine·Hyuk KimKwang-Suk Seo
Aug 30, 2018·Anesthesiology Research and Practice·Cattleya ThongrongPornthep Kasemsiri
Feb 18, 2016·The Journal of Craniofacial Surgery·Hyun Jin MinKyung Soo Kim
Aug 29, 2020·Annals of Maxillofacial Surgery·Vinay R DhakateHarshvardhan S Bharadwaj
Sep 23, 2020·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Dilek Günay Canpolat, Seher Orbay Yasli
Jan 23, 2021·The Journal of Craniofacial Surgery·Juan Pablo Alister HerdenerRodrigo Fariña
Aug 6, 2021·Anesthesia and Pain Medicine·Dong Ho ParkHong-Seuk Yang

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