The Effect of Nostril Side on Epistaxis During Nasotracheal Intubation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 208
- Locations
- 2
- Primary Endpoint
- epistaxis
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Double (Participant, Care Provider)
Eligibility Criteria
- Ages
- 19 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
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
Arms & Interventions
left nostril side
For nasotracheal intubation, the nasal RAE tube will be inserted through the left nostril and advanced into the oral cavity.
Intervention: Nasotracheal intubation (Procedure)
right nostril side
For nasotracheal intubation, the nasal RAE tube will be inserted through the right nostril and advanced into the oral cavity.
Intervention: Nasotracheal intubation (Procedure)
Outcomes
Primary Outcomes
epistaxis
Time Frame: during nasotracheal intubation
epistaxis due to nasotracheal intubation
Secondary Outcomes
No secondary outcomes reported