Effect of mechanical dilation on nasotracheal intubation

Various techniques, both chemical and mechanical, have been proposed to decrease trauma and hemorrhage associated with nasotracheal intubation. Nasotracheal intubation was performed on 44 healthy patients scheduled for oral surgical procedures to determine whether incremental dilation with nasophary...

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Veröffentlicht in:Journal of oral and maxillofacial surgery 1988-05, Vol.46 (5), p.372-375
Hauptverfasser: Adamson, Dennis N., Theisen, Frank C., Barrett, Kay C.
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container_issue 5
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container_title Journal of oral and maxillofacial surgery
container_volume 46
creator Adamson, Dennis N.
Theisen, Frank C.
Barrett, Kay C.
description Various techniques, both chemical and mechanical, have been proposed to decrease trauma and hemorrhage associated with nasotracheal intubation. Nasotracheal intubation was performed on 44 healthy patients scheduled for oral surgical procedures to determine whether incremental dilation with nasopharyngeal airways helps to decrease nasal passage hemorrhage during nasotracheal intubation. Twenty men and 24 women were randomly assigned to dilated or nondilated groups. Repeated passage of the nasopharyngeal airway and nasotracheal tube over relatively friable nasal mucosa accounted for increased hemorrhage in the dilated group. For routine nasotracheal intubation of healthy patients, dilation with nasopharyngeal airways needlessly adds time, trauma, and hemorrhage to the induction of anesthesia.
doi_str_mv 10.1016/0278-2391(88)90220-0
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Adult
Anesthesia
Anesthesia, Dental
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Dentistry
Dilatation - methods
Epistaxis - prevention & control
Female
General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation
Humans
Intubation, Intratracheal - instrumentation
Intubation, Intratracheal - methods
Male
Medical sciences
Mouth - surgery
Nasopharynx - anatomy & histology
Nose - anatomy & histology
Nose - injuries
title Effect of mechanical dilation on nasotracheal intubation
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