J Korean Dent Soc Anesthesiol.  2005 Dec;5(2):107-111. 10.17245/jkdsa.2005.5.2.107.

The Clinical Study for Epistaxis and Tube Insertion Failure Incidence on the Choice of Nostril during Nasotracheal Intubation

Affiliations
  • 1Department of Dental Anesthesiology, Seoul National University School of Dentistry, Seoul, Korea. stone90@snu.ac.kr
  • 2Department of Anesthesiology, Seoul National University College of Medicine, Seoul, Korea.

Abstract

BACKGROUND
Nasotracheal intubation for general anesthesia is preferred for many oral and maxillofacial procedures because it ensures unhindered access to the operative site. Epistaxis and tube insertion failures are recognized complications of nasotracheal intubation. The aim of our study was to elucidate whether the nostril side used influenced epistaxis and insertion failure incidence.
METHODS
We studied 434 patients undergoing nasal intubation (July 2004-February 2005) with permission. Randomly, one side of nostril was selected with chart ID number. During nasotracheal intubation, epistaxis severity and tube insertion failure was observed by the anesthesiologist who inserted nasotracheal tube.
RESULTS
There was no significant difference between either nostril in epistaxis severity (chi-square test, P = 0.860) and in the incidence of insertion failure (P = 0.867).
CONCLUSIONS
In this study, both nostrils showed equal epistaxis and insertion failure incidence.

Keyword

Epistaxis; Nasotracheal intubation; Nostril; Tube insertion failure
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