Evaluation of Nasopharynx Bleeding after Nasotracheal Intubation in Dental Patients with Corrected Coagulopathy

Abstract

Background: Tracheal intubation for general anesthesia induction can be performed via oral or nasal routes. There is a controversy about nasal route especially in children with corrected coagulopathy because of the probable stimulation for bleeding. We aimed to determine naso-pharynx bleeding in patients with corrected coagulopathy after nasotracheal intubation. Methods: This quasi-experimental study, was conducted on 23 children aged 4-16 years with history of treated coagulopathy needing extensive dental treatment scheduled for a general anesthetic session. Bleeding volume was measured by detailing absorbed amount on a 4×4 inch gauze as well as the volume collected in a nasal bleeding collecting bottle for 24 hours and recorded every four hours. Data were analyzed using Friedman test. Results: Scarce nasal bleeding was observed at the nasal intubation site in patients with hemophilia A. No significant differences were observed on nasal bleeding times in the these patients (P=0.583) Conclusion: Nasotracheal intubation can be performed in patients with hemophilia A after stabilization of the coagulation status with no serious risk of bleeding.