]>
IRCT20180416039326N15 IRCT 2020-09-21 Esfahan University of Medical Sciences Comparison of epistaxis in nasal tracheal intubation With finger guidance and conventional method Comparison of the severity of epistaxis between the finger guided and conventional technique of nasotracheal intubation in patients undergoing maxillofacial surgeries 2018-04-21 anticipated 90 Complete https://irct.ir/trial/42274 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: Patients who entered the study were randomly divided into two groups using computer software (Random allocation software), Blinding description: The person who performed the intubation had no role in gathering information. The person who assessing intubation complications and observer who collecting information were unaware of study groups. N/A Epistaxis. Intervention 1: Intervention group: The dominant or more open nostril (Patent) was selected by alternating finger pressure on the left and right nasal fins and asking the patient to take a slow breath. Then nasal tube number 7 in women and number 7.5 in men were used for intubation. The endotracheal tube was then inserted through the dominant (more open) nostril and directed to the pharynx. In the first group, the tube was guided blindly forward until the endotracheal tube was seen in the pharyngeal area following direct laryngoscopy with a Macintosh laryngoscope. Intervention 2: Intervention group: In the second group, after the finger of the non-dominant hand enters the mouth and then continues to the back of the soft palate in the nasopharynx, We move the endotracheal tube forward So that after the tip of the endotracheal tube comes in contact with the tip of the finger, the end of the endotracheal tube path is guided by the finger and slowly until the endotracheal tube enters the oropharyngeal space. Then the endotracheal tube is guided to the endotracheal and if the accuracy of the intubation is ensured, the tube is fixed. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is I will decide until the end of the study.
public Hamidreza Shetabi
Al-Zahra Hospital, Sofe Boulevard
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3822 2532 hamidshetabi@med.mui.ac.ir Esfahan University of Medical Sciences scientific Hamidreza Shetabi
Al-Zahra Hospital - Sofe Boulevard
Isfahan Iran (Islamic Republic of) 8174675731 +98 31 3822 2532 hamidshetabi@med.mui.ac.ir Esfahan University of Medical Sciences Iran (Islamic Republic of) Candidate for elective maxillofacial surgery under general anesthesia ASA One and Two Informed consent to participate in the study Age: 16 to 65 years old 16 years 65 years Both History of bleeding disorders History of nasopharyngeal masses History of head, face and fracture trauma of the nose and cheekbones Taking any anticoagulant History of any surgery or manipulation of the nose R04.0 Epistaxis Prevention Prevention Intervention group: The dominant or more open nostril (Patent) was selected by alternating finger pressure on the left and right nasal fins and asking the patient to take a slow breath. Then nasal tube number 7 in women and number 7.5 in men were used for intubation. The endotracheal tube was then inserted through the dominant (more open) nostril and directed to the pharynx. In the first group, the tube was guided blindly forward until the endotracheal tube was seen in the pharyngeal area following direct laryngoscopy with a Macintosh laryngoscope. Intervention group: In the second group, after the finger of the non-dominant hand enters the mouth and then continues to the back of the soft palate in the nasopharynx, We move the endotracheal tube forward So that after the tip of the endotracheal tube comes in contact with the tip of the finger, the end of the endotracheal tube path is guided by the finger and slowly until the endotracheal tube enters the oropharyngeal space. Then the endotracheal tube is guided to the endotracheal and if the accuracy of the intubation is ensured, the tube is fixed. The severity of bleeding in the throat. Timepoint: After intubation through the nose. Method of measurement: See the throat. Esfahan University of Medical Sciences Approved 2017-06-10 Ethics committee of Isfahan Universiti of Medical Sciences Sefa Boulevard Isfahan Isfehan Iran (Islamic Republic of)