Nostril Side on Epistaxis

Not Applicable

Not yet recruiting

• Conditions: Nasotracheal Intubation
• Interventions: Procedure: Nasotracheal intubation

• Registration Number: NCT06605989
• Lead Sponsor: Seoul National University Hospital

Brief Summary

The purpose of the study is to investigate the effect of the nostril side on epistaxis during nasotracheal intubation.

Detailed Description

This prospective randomized controlled study was approved by the IRB of our institute.

Patients requiring nasotracheal intubation will be screened for eligibility for the study. Then, patients will be randomized to one of two groups; (Group I: tube will be inserted through the left nostril and advanced into the oral cavity / Group II: tube will be inserted through the right nostril and advanced into the oral cavity). After induction of anesthesia and muscle relaxation, the preformed nasal RAE (Ring-Adair-Elwyn) tube will be inserted via the nostril, which is assigned to each patient according to the group, approximately 3-4 cm. Next, an anesthesiologist will advance the tube into the oral cavity. After the tube is placed in the oral cavity, the anesthesiologist will perform nasotracheal intubation with Magill forceps. After that, an investigator will check the occurrence of epistaxis due to nasotracheal intubation and its severity with a fiberoptic bronchoscope. After obtaining all data, investigators will analyze the incidence of epistaxis and its severity between the two groups.

Study Timeline

• Status Verified: 2024-09
• Study First Submitted: 2024-09-18
• Study First Submitted QC: 2024-09-18
• Study First Posted: 2024-09-20
• Study Start: 2024-09-23
• Last Update Submitted: 2024-09-26
• Last Update Posted: 2024-09-30
• Primary Completion: 2025-08-22
• Study Completion: 2025-09-22

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 288

Inclusion Criteria

• adult patients requiring nasotracheal intubation for elective surgery

Exclusion Criteria

• refuse to participate in the study
• severe deformity in the nose
• current severe epistaxis
• cannot insert the tube into a specific nostril side due to any reason

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
left nostril side	Nasotracheal intubation	For nasotracheal intubation, the nasal RAE tube will be inserted through the left nostril and advanced into the oral cavity.
right nostril side	Nasotracheal intubation	For nasotracheal intubation, the nasal RAE tube will be inserted through the right nostril and advanced into the oral cavity.

Primary Outcome Measures

Name	Time	Method
epistaxis	during nasotracheal intubation	epistaxis due to nasotracheal intubation