Incidence and Predictors of Nasopharyngeal Airway to Facilitate Nasotracheal Intubation

  • Mohammad Rezaul Karim Assistant Professor, Department of Anaesthesiology, Dhaka Dental College, Dhaka, Bangladesh
  • Md. Mosaddak Akbar Junior Consultant, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh
  • Nur E Dilara Islam Anaesthesiologist, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh
  • Mohammad Emran Junior Consultant, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh
  • Md. Selim Sarker Assistant Professor, Department of Anaesthesiology, Dhaka Dental College, Dhaka, Bangladesh
Keywords: Nasotracheal intubation, Maxillofacial, Nasopharyngeal airway (NPA).

Abstract

Background: Nasotracheal intubation is the most frequent approach of airway management in oral and maxillofacial surgical procedure. However, many times, it is related to ensuing bleeding from trauma to nasopharyngeal mucosa. This study was done to determine how effectively nasopharyngeal airways (NPAs) performed at making nasopharyngeal insertion simple and minimize trauma during nasotracheal intubation. Objectives: The aim of this study is to determine the incidence and predictors of nasopharyngeal airway to facilitate nasotracheal intubation. Methods: This study was carried out in the Anaesthesiology Department of Dhaka Dental College and Hospital. The subjects of the study were the patients who underwent maxillofacial surgery and required nasotracheal intubation. Nasotracheal intubation was done on 900 patients during the study period from January 2022 to December 2022. Results: The majority of patients 891(99.0%) had successful nasotracheal intubation. The patients in this study ranged in age from 10 to 60 years old and the majority were male 685(76.1%). A small percentage of patients reported postoperative complications such as runny nose 12 (1.3%), epistaxis or nasal bleeding 10(1.2%), nasal trauma or pain 12(1.3%), inflammation or ulceration of the nose with full recovery 6(0.6%), and sinusitis 10(1.2%) among individuals. For atraumatic nasotracheal intubation, nasal cavity dilatation with nasopharyngeal airways was useful. Conclusions: Dilatation of nasal cavity with nasopharyngeal airways (NPAs) extensively eases the insertion of endotracheal tube (ETT) into the nasopharynx and significantly decreases the incidence and severity of trauma and bleeding during nasotracheal intubation.

 

 

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Author Biographies

Mohammad Rezaul Karim, Assistant Professor, Department of Anaesthesiology, Dhaka Dental College, Dhaka, Bangladesh

 

 

Md. Mosaddak Akbar, Junior Consultant, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh

 

 

Nur E Dilara Islam, Anaesthesiologist, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh

 

 

Mohammad Emran, Junior Consultant, Department of Anaesthesiology, Dhaka Dental College and Hospital, Dhaka, Bangladesh

 

 

Md. Selim Sarker, Assistant Professor, Department of Anaesthesiology, Dhaka Dental College, Dhaka, Bangladesh

 

 

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CITATION
DOI: 10.26838/MEDRECH.2023.10.2.687
Published: 2023-03-15
How to Cite
1.
Karim MR, Akbar MM, Islam NED, Emran M, Sarker MS. Incidence and Predictors of Nasopharyngeal Airway to Facilitate Nasotracheal Intubation. Med. res. chronicles [Internet]. 2023Mar.15 [cited 2024Jun.20];10(2):139-46. Available from: https://medrech.com/index.php/medrech/article/view/668
Section
Original Research Article