Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery

Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery.

BACKGROUND Epistaxis is the most common complication encountered during nasotracheal intubation (NTI) in children. The aim of this study was to test the efficacy of prophylactic intranasal admixture of xylometazoline and local anaesthetic gel in reducing epistaxis after NTI in children. METHODS Children presenting for dental procedures requiring NTI were randomly allocated into two groups: Gr...

Phasing out epidural analgesia for knee arthroplasty.

1 El-Seify ZA, Khattab AM, Shaaban AA, Metwalli OE, Hassan HE, Ajjoub LF. Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery. Br J Anaesth 2010; 105: 501–5; doi:10.1093/bja/aeq205 2 Kihara S, Komatsuzaki T, Brimacombe JR, et al. A silicone-based wire-reinforced tracheal tube with a hemispherical bevel reduces nasal morbidity for nasotrache...

A comparison of the effects of epinephrine and xylometazoline in decreasing nasal bleeding during nasotracheal intubation

Background Various techniques have been introduced to decrease complications during nasotracheal intubation. A common practice is to use nasal packing with a cotton stick and 0.01% epinephrine jelly. However, this procedure can be painful to patients and can damage the nasal mucosa. Xylometazoline spray can induce effective vasoconstriction of the nasal mucosa without direct nasal trauma. In th...

Nasotracheal intubation for head and neck surgery.

Nasotracheal intubation offers the head and neck surgeon more scope for surgical manoeuvre in operations of the mouth, pharynx, larynx and also the neck. Concern over the complications of using this route of intubation and lack of training may be limiting its use. A thorough knowledge of the anatomy, benefits of using nasal vasoconstrictors and attention to technique are prerequisites to mainta...

Nasotracheal intubation.