Document Detail


Epistaxis during nasotracheal intubation: a comparison of nostril sides.
MedLine Citation:
PMID:  19931965     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: It is commonly believed that for preventing epistaxis during nasotracheal intubation (NTI), the right nostril should be used. However, there is no real evidence as to which nostril should be used. In this study, we tested our hypothesis that epistaxis during NTI is more frequent and severe using the left nostril rather than the right, provided that patency appears equal on both sides of the nose. PATIENTS AND METHODS: A total of 54 patients who were scheduled for elective oral surgery, in which NTI was indicated to optimize the surgical approach, were recruited into this study. The nostril used for NTI was chosen randomly. RESULTS: Epistaxis occurred significantly more frequently (44.4%) when the left nostril was used for NTI than when the right nostril was used (11.1%; P = .014). Although there were no statistical differences in the incidence of mild epistaxis between the 2 nostrils (P = .467), severe epistaxis was significant more frequent with the left (22.2%) than with the right nostril (0.0%; P < .023). CONCLUSIONS: Our data show that epistaxis during NTI is more frequent and severe with the left nostril than the right. Hence, when deciding which nostril to use for NTI, the right nostril should be used if patency appears equal on both sides of the nose.
Authors:
Takuro Sanuki; Motoko Hirokane; Junichiro Kotani
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2009-11-22
Journal Detail:
Title:  Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons     Volume:  68     ISSN:  1531-5053     ISO Abbreviation:  J. Oral Maxillofac. Surg.     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-22     Completed Date:  2010-03-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8206428     Medline TA:  J Oral Maxillofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  618-21     Citation Subset:  AIM; D; IM    
Copyright Information:
Copyright (c) 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Anesthesiology, Osaka Dental University, Osaka, Japan. odu9847@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Epistaxis / etiology*
Female
Humans
Intubation, Intratracheal / adverse effects*,  methods*
Male
Nose

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