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 |
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container_title | Journal of oral and maxillofacial surgery |
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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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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. 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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.</description><subject>Adult</subject><subject>Anesthesia</subject><subject>Anesthesia, Dental</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Dentistry</subject><subject>Dilatation - methods</subject><subject>Epistaxis - prevention & control</subject><subject>Female</subject><subject>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</subject><subject>Humans</subject><subject>Intubation, Intratracheal - instrumentation</subject><subject>Intubation, Intratracheal - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mouth - surgery</subject><subject>Nasopharynx - anatomy & histology</subject><subject>Nose - anatomy & histology</subject><subject>Nose - injuries</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1988</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtKAzEUhoMotVbfQKELEV2M5uQyk9kIUuoFCm50HU5zoZHpTE2mgm9veqFL4UAW_5f_HD5CLoHeA4XygbJKFYzXcKvUXU0ZowU9IkOQHApJJT8mwwNySs5S-qIUQFblgAw4lJxXdEjU1Htn-nHnx0tnFtgGg83Yhgb70LXjPC2mro9oFi4Hoe3X8210Tk48Nsld7N8R-Xyefkxei9n7y9vkaVYYrsq-MChqCxSlN6oSjvtSATAAUbIay1oaicaKOZfgaS2kQDTSCu5B4dxKS_mI3Ox6V7H7XrvU62VIxjUNtq5bJ10pBoxJyKDYgSZ2KUXn9SqGJcZfDVRvhOmNDb2xoZXSW2F603-171_Pl84ePu0N5fx6n2PKanzE1oR0wPJ6oaoqY487zGUXP8FFnUxwrXE2xOxX2y78f8cfmLOFow</recordid><startdate>19880501</startdate><enddate>19880501</enddate><creator>Adamson, Dennis N.</creator><creator>Theisen, Frank C.</creator><creator>Barrett, Kay C.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>19880501</creationdate><title>Effect of mechanical dilation on nasotracheal intubation</title><author>Adamson, Dennis N. ; Theisen, Frank C. ; Barrett, Kay C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-ca49d10a5fc874e3f68112114629a695c5acd4b351f09454aac5d43f18abd5d03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1988</creationdate><topic>Adult</topic><topic>Anesthesia</topic><topic>Anesthesia, Dental</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Dentistry</topic><topic>Dilatation - methods</topic><topic>Epistaxis - prevention & control</topic><topic>Female</topic><topic>General anesthesia. Technics. Complications. Neuromuscular blocking. Premedication. Surgical preparation. Sedation</topic><topic>Humans</topic><topic>Intubation, Intratracheal - instrumentation</topic><topic>Intubation, Intratracheal - methods</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mouth - surgery</topic><topic>Nasopharynx - anatomy & histology</topic><topic>Nose - anatomy & histology</topic><topic>Nose - injuries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adamson, Dennis N.</creatorcontrib><creatorcontrib>Theisen, Frank C.</creatorcontrib><creatorcontrib>Barrett, Kay C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adamson, Dennis N.</au><au>Theisen, Frank C.</au><au>Barrett, Kay C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of mechanical dilation on nasotracheal intubation</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>1988-05-01</date><risdate>1988</risdate><volume>46</volume><issue>5</issue><spage>372</spage><epage>375</epage><pages>372-375</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><coden>JOMSDA</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>3163370</pmid><doi>10.1016/0278-2391(88)90220-0</doi><tpages>4</tpages></addata></record> |
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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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