North Polar Tube Reduces the Risk of Epistaxis during Nasotracheal Intubation: A prospective, Randomized Clinical Trial

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dc.authoridAkbas, Sedat/0000-0003-3055-9334
dc.authoridOzkan, Ahmet Selim/0000-0002-4543-8853
dc.authoridToy, Erol/0000-0001-6888-9924
dc.authorwosidDurmuş, Mahmut/AAG-3377-2019
dc.authorwosidAkbas, Sedat/ABI-6053-2020
dc.authorwosidOzkan, Ahmet Selim/ABH-2918-2020
dc.contributor.authorOzkan, Ahmet Selim
dc.contributor.authorAkbas, Sedat
dc.contributor.authorToy, Erol
dc.contributor.authorDurmus, Mahmut
dc.date.accessioned2024-08-04T20:45:42Z
dc.date.available2024-08-04T20:45:42Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: In this study, a north polar tube (Portex (R) North Polar tube [Ivory PVC Portex tube; Smiths Medical International, Hythe, United Kingdom]) (NPT) and spiral tube (ST) were compared for their ability to provide a nasal airway in patients during maxillofacial surgery. Methods: Patients who were aged 18 to 65 years with American Society of Anaesthesiologists score 1 to 2 and Mallampati score 1 to 2 were included in the study. The anesthesia technique was standardized in all patients. Patients were divided into 2 groups randomly: the NPT (n=35) and ST groups (n=35). Anesthesia was administered with 1% to 2% sevoflurane and a mixture of 50% oxygen+ 50% air in both groups. The mean arterial pressure and heart rate values of preinduction; preintubation; and the first, second, third, and fifth minutes of intubation were recorded. Epistaxis, intraoral bleeding, cuff burst, use of Magill pens, duration of intubation, intubation difficulty, laryngeal compression, head position change, and glottic grade were evaluated. Results: There were no significant differences between groups in terms of demographic data (gender, age, height, weight, body mass index, American Society of Anaesthesiologists score, and Mallampati score). Macintosh laryngoscopes were used during intubation in all patients. There was no significant difference between groups in terms of intubation difficulty, duration of intubation, use of Magill pens, and determination of the glottic grade (P > 0.05). Epistaxis was significantly lower in the NPT group than in the ST group (P= 0.012). Intraoral bleeding was significantly higher in the ST group than in the NPT group (P=0.001). During intubation, laryngeal compression (Sellick maneuver) and head position changes were significantly lower in the NPT group than in the ST group (P=0.003 and P < 0.001, respectively). There were no significant differences in mean arterial pressure and heart rate between the 2 groups. Conclusions: We conclude that the NPT was associated with less epistaxis and manipulations such as laryngeal compression and head position changes when compared with the ST during nasotracheal intubation. The velvet-soft polyvinyl chloride material of the NPT appears to be responsible for this advantage. (C) 2018 Published by Elsevier Inc.en_US
dc.identifier.doi10.1016/j.curtheres.2018.09.002
dc.identifier.endpage26en_US
dc.identifier.issn0011-393X
dc.identifier.issn1879-0313
dc.identifier.pmid30787962en_US
dc.identifier.scopus2-s2.0-85061190050en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage21en_US
dc.identifier.urihttps://doi.org/10.1016/j.curtheres.2018.09.002
dc.identifier.urihttps://hdl.handle.net/11616/98645
dc.identifier.volume90en_US
dc.identifier.wosWOS:000477709700004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofCurrent Therapeutic Research-Clinical and Experimentalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEpistaxisen_US
dc.subjectNasotracheal intubationen_US
dc.subjectNorth polar tubeen_US
dc.subjectMaxillofacial surgeryen_US
dc.subjectSpiral tubeen_US
dc.titleNorth Polar Tube Reduces the Risk of Epistaxis during Nasotracheal Intubation: A prospective, Randomized Clinical Trialen_US
dc.typeArticleen_US

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