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Reliability of assessment of nasal flow rate for nostril selection during nasotracheal intubation.

Abstract：

STUDY OBJECTIVE:To evaluate the reliability of assessments of nasal flow rate for improved nostril selection for nasotracheal intubation. DESIGN:Prospective, randomized, double-blinded study. SETTING:Operating room of a university-affiliated hospital. PATIENTS:118 ASA physical status 1 and 2 patients, aged 18-65 years, scheduled for elective maxillofacial and oral surgery requiring nasotracheal intubation. INTERVENTIONS:Patients were randomized to the left or right nostril groups. Forced vital capacity (FVC) and forced expiratory volume in one second (FEV(1)) through the mouth and each nostril were measured before anesthesia induction. MEASUREMENTS:The relationship between the rate of airflow through the selected nostril and frequency of epistaxis and navigability of the nasotracheal tube were evaluated. MAIN RESULTS:There were no significant differences in the frequency of epistaxis and degree of navigability of the tracheal tube between the left and right nostril groups. In both nostril groups, patients who suffered epistaxis showed significantly less FEV(1) and FEV(1)/FVC values than did patients without epistaxis (P < 0.05). In addition, in both groups patients who passed the tube easily showed significantly higher FEV(1) and FEV(1)/FVC values than did patients who passed the tube with resistance or failed tube passage (P < 0.05). CONCLUSION:Measurement of nasal flow rate is a useful clinical method for choosing a nostril for nasotracheal intubation.

journal_name

J Clin Anesth

journal_title

Journal of clinical anesthesia

authors

Lim HS,Kim D,Lee J,Son JS,Lee JR,Ko S

doi

10.1016/j.jclinane.2011.08.006

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

270-4

issue

4

eissn

0952-8180

issn

1873-4529

pii

S0952-8180(12)00076-1

journal_volume

24

pub_type

杂志文章,随机对照试验

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