Effect of mechanical dilation on nasotracheal intubation

Adamson, Dennis N.; Theisen, Frank C.; Barrett, Kay C.

doi:10.1016/0278-2391(88)90220-0

Cited by 30 publications

(10 citation statements)

References 16 publications

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“…Mechanical dilation [16] and application of adrenaline [17] have also been used to prepare the nasopharyngeal passages and minimise epistaxis during nasotracheal intubation. Use of the Parker Flex-Tip tube for nasotracheal intubation may have advantages over these methods since no other special equipment or preparation is required, except for routine lubrication of the Parker Flex-Tip tube before tracheal intubation.…”

Section: Discussionmentioning

confidence: 99%

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

et al. 2009

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SummaryWe tested our hypothesis that use of the Parker Flex‐Tip™ tracheal tube could reduce the incidence of nasal mucosal trauma during nasotracheal intubation when compared with a conventional tip tracheal tube. One hundred and two patients, who were scheduled for elective oral surgery in which nasotracheal intubation was indicated to optimise the surgical approach, were recruited into this study. Either a Flex‐Tip tracheal tube or a conventional tip tracheal tube was chosen randomly for each nasotracheal intubation. The incidence of epistaxis using the Flex‐Tip tracheal tube (6 (11.8%)) was significantly lower than that with the conventional tip tracheal tube (18 (35.3%); p = 0.009). Nasal pain due to intubation, rated on a 100‐mm visual analogue scale, was less intense with the Flex‐Tip tracheal tube (median, (10th–90th percentile) 19 (12–28) mm compared with the conventional tip tracheal tube (30 (22–35) mm; p < 0.001). The Flex‐Tip tracheal tube thus appeared to reduce the incidence of nasal mucosal trauma during nasotracheal intubation and the incidence of post‐intubation nasal pain, compared with the conventional tip tracheal tube.

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Section: Discussionmentioning

confidence: 99%

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

et al. 2009

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“…Thermosoftening of tracheal tubes is a simple, effective means of decreasing epistaxis (17). In contrast, a frequently used technique of sequential mechanical dilation of the nasal passage increases trauma and hemorrhage (18).…”

Section: Discussionmentioning

confidence: 99%

A Simple Technique to Reduce Epistaxis and Nasopharyngeal Trauma During Nasotracheal Intubation in a Child with Factor IX Deficiency Having Dental Restoration

Delgado

Sanders

2004

Anesthesia & Analgesia

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“…However, others have shown this technique to be detrimental, resulting in repeated trauma to the relatively friable mucosa overlying the nasal valve region and significantly more haemorrhage compared with patients intubated without prior mechanical dilation [25].…”

Section: Preparation Of the Nasal Mucosamentioning

confidence: 99%

Nasotracheal intubation for head and neck surgery

2003

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SummaryNasotracheal intubation offers the head and neck surgeon more scope for surgical manoeuvre in operations of the mouth, pharynx, larynx and also the neck. Concern over the complications of using this route of intubation and lack of training may be limiting its use. A thorough knowledge of the anatomy, benefits of using nasal vasoconstrictors and attention to technique are prerequisites to maintaining the skill. This article reviews each of these topics and aims to encourage the appropriate use of nasotracheal intubation in current practice.

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Effect of mechanical dilation on nasotracheal intubation

Cited by 30 publications

References 16 publications

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

The Parker Flex‐Tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma

A Simple Technique to Reduce Epistaxis and Nasopharyngeal Trauma During Nasotracheal Intubation in a Child with Factor IX Deficiency Having Dental Restoration

Nasotracheal intubation for head and neck surgery

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