0 156

Cited 0 times in

Insertion depth of nasotracheal tubes sized to fit the nostril: an observational study

Authors
 Bora Lee  ;  Wyun Kon Park  ;  Soon Young Yun  ;  Soojeong Kang  ;  Hyun Joo Kim 
Citation
 JOURNAL OF INTERNATIONAL MEDICAL RESEARCH, Vol.47(1) : 235-243, 2019 
Journal Title
 JOURNAL OF INTERNATIONAL MEDICAL RESEARCH 
ISSN
 0300-0605 
Issue Date
2019
Keywords
Airway management ; carina ; head and neck surgery ; nasopharyngeal airway ; nasotracheal intubation ; nostril ; tube size
Abstract
OBJECTIVE: Nasotracheal (NT) intubation is commonly applied during head and neck surgery. However, improper tube size and depth may cause complications. In the current study, we investigated whether NT tubes are being appropriately used in terms of size and depth in adult patients. METHODS: Nares were sized in 40 patients using standard nasopharyngeal airways (6.0-8.0) before elective surgery under general anesthesia. The largest sized airway that passed easily into the nasopharynx without resistance was considered as a proper size. Using a fiberoptic scope, the distances from the nares to the vocal cords and the nares to the carina were measured. Rates of proper NT tube positioning were calculated with regard to the cuff and distal tip. RESULTS: The most frequent sizes of properly fitted NT tubes were 6.5 and 6.0 in male and female patients, respectively. Positioning of the cuff and distal tip was only appropriate when using a properly sized tube in 26% and 47% of male and female patients, respectively. CONCLUSION: Care should be taken to determine the insertion depth after placing an NT tube that has been sized to fit the nostril. Moreover, NT tubes of the same diameter may be required in various lengths. Trial registration: Registered at ClinicalTrial.gov; https://clinicaltrials.gov/ct2/show/NCT02876913 ; Registration number NCT02876913.
Full Text
https://journals.sagepub.com/doi/full/10.1177/0300060518800105
DOI
10.1177/0300060518800105
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Joo(김현주) ORCID logo https://orcid.org/0000-0003-1963-8955
Park, Wyun Kon(박윤곤)
Yun, Soon Young(윤순영)
Lee, Bo Ra(이보라) ORCID logo https://orcid.org/0000-0002-7699-967X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/167334
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse