경비기관 내 삽관 시 좌 우측 비공 선택에서 비출혈 및 튜브 진입 실패 빈도에 관한 연구
The Clinical Study for Epistaxis and Tube Insertion Failure Incidence on the Choice of Nostril during Nasotracheal Intubation
서광석, 주리아, 고승지, 김현정, 염광원,
소속 상세정보
서광석 ( Seo Kwang-Suk ) - 서울대학교 치과병원 마취통증의학과
주리아 ( Joo Ri-Ah ) - 서울대학교 치과대학 치과마취과학교실
고승지 ( Ko Seung-Ji ) - 서울대학교 치과대학 치과마취과학교실
김현정 ( Kim Hyun-Jeong ) - 서울대학교 치과대학 치과마취과학교실
염광원 ( Yeom Kwang-Won ) - 서울대학교 치과대학 치과마취과학교실
KMID : 0980220050050020107
Abstract
Background: Nasotracheal intubation for general anesthesia is preferred for many oral and maxillofacial procedures because it ensures unhindered access to the operative site. Epistaxis and tube insertion failures are recognized complications of nasotracheal intubation. The aim of our study was to elucidate whether the nostril side used influenced epistaxis and insertion failure incidence.
Methods: We studied 434 patients undergoing nasal intubation (July 2004- February 2005) with permission. Randomly, one side of nostril was selected with chart ID number. During nasotracheal intubation, epistaxis severity and tube insertion failure was observed by the anesthesiologist who inserted nasotracheal tube.
Results: There was no significant difference between either nostril in epistaxis severity (chi-square test P = 0.860) and in the incidence of insertion failure (P = 0.867).
Conclusions: In this study, both nostrils showed equal epistaxis and insertion failure incidence.
키워드
Epistaxis; Nasotracheal intubation; Nostril; Tube insertion failure
원문 및 링크아웃 정보
등재저널 정보