جستجوی مقالات مرتبط با کلیدواژه « nasotracheal intubation » در نشریات گروه « پزشکی »

Different techniques have been introduced to reduce the complications of nasotracheal intubation. The aim of this study was to compare the incidence of nasotracheal intubation complications in finger‑guided and conventional methods.

In this double‑blind randomized trial study, 70 patients who were candidates for oral and maxillofacial surgery who required nasal intubation were included in the study finally of which 33 patients with conventional method and 35 patients with finger‑guided tubes in the nasopharynx were analyzed at the end of the study. Variables such as success rate, hemodynamic response, and complications of intubation were compared between the two groups.

There was no significant difference between the two groups in terms of hemodynamic response to intubation (P > 0.05). There was a significant difference between the two groups in terms of success in tracheal intubation (P < 0.05). There was a significant difference between the two groups in terms of epistaxis immediately after intubation (P < 0.05). There was no significant difference between the two groups in terms of nasal turbine fractures (P > 0.05). However, the frequency of submucosal intubation in the conventional method was significantly higher than the other group (P = 0.02).

Nasotracheal intubation using the finger guiding technique in the nasopharynx is associated with a higher success rate and less complications after intubation such as epistaxis and submucosal intubation compared to the conventional method.

Tracheal intubation for general anesthesia induction can be performed via oral or nasal routes. There is a controversy about nasal route especially in children with corrected coagulopathy because of the probable stimulation for bleeding. We aimed to determine naso-pharynx bleeding in patients with corrected coagulopathy after nasotracheal intubation.

This quasi-experimental study, was conducted on 23 children aged 4-16 years with history of treated coagulopathy needing extensive dental treatment scheduled for a general anesthetic session. Bleeding volume was measured by detailing absorbed amount on a 4×4 inch gauze as well as the volume collected in a nasal bleeding collecting bottle for 24 hours and recorded every four hours. Data were analyzed using Friedman test.

Scarce nasal bleeding was observed at the nasal intubation site in patients with hemophilia A. No significant differences were observed on nasal bleeding times in the these patients (P=0.583)

Nasotracheal intubation can be performed in patients with hemophilia A after stabilization of the coagulation status with no serious risk of bleeding.