Determining the Effects of Foley Catheter-assisted Nasal Intubation on Nasal Bleeding in Adult Patients
Nasal Bleeding
About this trial
This is an interventional prevention trial for Nasal Bleeding focused on measuring Endotracheal intubation, Nasal intubation, Epistaxis, Foley catheter, Airway
Eligibility Criteria
Inclusion Criteria:
- Age greater than 18
- Scheduled to undergo an operation requiring nasotracheal intubation
Exclusion Criteria:
- Latex allergy
- Emergency surgery
- High risk of aspiration
- Anticipated or unanticipated difficult airway or bag mask ventilation
- Morbid obesity (BMI >40)
- Bleeding diathesis
- Basal skull fracture
- Previous deviated nasal septum surgery
- Nasal polyps
Sites / Locations
- Mount Sinai Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
No Intervention
Foley-assisted
Control
The tip of the nasal endotracheal tube will be telescoped onto a 16g Foley catheter. If a ballooned catheter is used then the inflation port may be cut off prior to use. The catheter tip is then fed through the pre-selected primary nare, until the tip of the endotracheal tube is in the oropharynx. The catheter is then removed from the tip of the nasal endotracheal tube through the mouth and disposed of. If the nasal endotracheal tube is inappropriately sized, a half size above or below may be used. If difficult to pass, the anesthetist may opt to use the other side nare. Following this, the anesthetist will complete the rest of the intubation as usual.
The endotracheal tube is passed through the pre-selected primary nare, until the tip of the endotracheal tube is in the oropharynx. If the nasal endotracheal tube is inappropriately sized, a half size above or below may be used. If difficult to pass, the anesthetist may choose to use the other side nare. Following this, the anesthetist will complete the rest of the intubation as usual.