An interventional study of tarivid ointment in Epistaxis and Intubation, sponsored by Ajou University School of Medicine. Completed at 1 site in Korea, Republic of. Open to participants aged 4 Years to 8 Years. Per ClinicalTrials.gov, last updated 2022-07-26.
Sponsored by Ajou University School of Medicine · Not applicable, Interventional, and Prevention
Nasotracheal intubation is one of the anesthetic procedures required for oral surgery. It allows the surgeon easier access to the surgical site than the orthotracheal intubation. Therefore, nosotracheal intubation is commonly used for general anesthesia for oral and maxillofacial surgery and dental treatment. However, nasotracheal intubation can damage the nasal mucosa in the course of the tube passing through the nostrils, causing epistaxis which is reported as the most common side effect.
In order to reduce these side effects, heating of the tube and use of a tube lubricant immediately before intubation have been recommended in children. However, research on whether the dry state of the mucosa itself contributes to the development of epistaxis is limited. A study in adults reported that pretreatment of the ointment on the mucosa reduced the damage to the mucosa. However, its effect on the incidence of epistaxis in children has not been studied.
The purpose of this study is to investigate the effects of pretreatment of nasal ointment on epistaxis of nasotracheal intubation in children.
Exclusion Criteria:
Ointment group should apply a nasal ointment to both noses using a cotton swab the night before surgery and the morning of surgery.
Drug: tarivid ointment
Vaseline ointment is applied to both noses.
incidence of epistaxis
percentage of the development of epistaxis after nasotracheal intubation
Time frame: immediate after intubation
incidence of epistaxis
percentage of the development of epistaxis after nasotracheal intubation
Time frame: immediate after extubation
severity of epistaxis
score based on severity of epistaxis will be recorded. 1: no epistaxis, 2: mild; blood on tube 3. moderate: blood pooling on pharynx 4. severe: interfere intubation by blood
Time frame: immediate after intubation
severity of epistaxis
score based on severity of epistaxis will be recorded. 1: no epistaxis, 2: mild; blood on tube 3. moderate: blood pooling on pharynx 4. severe: interfere intubation by blood
Time frame: immediate after extubation
Navigability
score based on easiness of navigation during intubation 1. No resistance 2. Pass with some resistance(1try, mild) 3. Pass with some resistance (\>=2) 4. Failed to pass (Try to another nose) 5. Failed to pass both nostril (use more smaller tube)
Time frame: immediate after intubation
This study is completed, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.
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Ajou University School of Medicine