To evaluate the role of nasogastric tube as a guide to facilitate nasotracheal intubation.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 10
Abstract
Nasotracheal intubation is an established airway management technique in various intra-oral and oropharyngeal surgical procedures. Nasal trauma is chief complication associated with it. In order to overcome nasal trauma we conducted a randomized controlled study over 60 adult patients undergoing elective surgery under general anaesthesia using nasogastric tube as a pathfinder to facilitate the passage of nasal endotracheal tube till it reaches oropharynx (Group I) compared with the conventional technique (Group II) i.e blind insertion of nasotracheal tube into nasal cavity. We concluded that in group I 86.7% patients had easy insertion of nasotracheal tube compared to 43.3% in group II ( p < 0.001). Nasogastric tube decreases incidence of nasal trauma ( p < 0.001), increased passage of nasotracheal tube via lower nasal pathway (p < 0.001) as well as decreased number of attempts for nasotracheal intubation ( p = 0.018).
Authors and Affiliations
Dr Nidhi Bangarwa
Keywords
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