Epistaxis during nasotracheal intubation: a comparison of nostril sides.
Takuro Sanuki, Motoko Hirokane, Junichiro Kotani
https://pubmed.ncbi.nlm.nih.gov/19931965Actively Recruiting
Led by Seoul National University Hospital · Updated on 2026-02-11
208
Participants Needed
2
Research Sites
N/A
Total Duration
S
Seoul National University Hospital
Lead Sponsor
S
SMG-SNU Boramae Medical Center
Collaborating Sponsor
Researchers are studying the effect of which nostril is used during nasotracheal intubation on the occurrence and severity of nosebleeds (epistaxis). This randomized controlled study compares inserting the nasal RAE tube through the left versus the right nostril during nasotracheal intubation performed for patients undergoing elective surgery. The goal is to understand if nostril side influences bleeding during this procedure. Participants will be randomly assigned to one of two groups: one group will have the nasal RAE tube inserted through the left nostril, and the other group through the right nostril. After anesthesia and muscle relaxation, the tube will be inserted approximately 3 to 4 cm into the assigned nostril and then advanced into the oral cavity using Magill forceps to complete the nasotracheal intubation. Throughout the procedure, an investigator will monitor for epistaxis using a fiberoptic bronchoscope, recording its occurrence and severity. Data collected will be analyzed to compare bleeding between the two nostril groups. The study involves careful monitoring during surgery and aims to gather detailed information on nosebleeds caused by nasotracheal intubation.
CONDITIONS
Nostril Side on Epistaxis
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Single procedure on the day of surgery
Participants undergo nasotracheal intubation with a nasal RAE tube inserted through either the left or right nostril as assigned. The procedure includes tube insertion through the nostril, advancement into the oral cavity, and placement using Magill forceps while under anesthesia.
1 visit (in-person)
Total: 2 locations
1
Seoul Metropolitan Government Seoul National University Boramae Medical Center
Seoul, Dongjak-gu, South Korea, 07061
Actively Recruiting
2
Gangnam Severance Hospital
Seoul, Gangnam-gu, South Korea, 06273
Actively Recruiting
J
Jung-Man Lee, M.D., Ph.D.
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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Takuro Sanuki, Motoko Hirokane, Junichiro Kotani
https://pubmed.ncbi.nlm.nih.gov/19931965