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Shim, Seo, Yi, Kim, Yum, and Park: The Analysis on Degree of Discomfort Caused by Delayed Extubation of Nasotracheal Tube: A Pilot Study
Original Article

Journal of the Korean Dental Society of Anesthesiology 2007; 7(1): 1-5.

Published online: 31 May 2016

DOI: https://doi.org/10.17245/jkdsa.2007.7.1.1

The Analysis on Degree of Discomfort Caused by Delayed Extubation of Nasotracheal Tube: A Pilot Study

Jung Hwan Shim, Kwang-Suk Seo, Young-Eun Yi, Hyun-Jeong Kim, Kwang-Won Yum, Yun-Ki Park

Department of Dental Anesthesiology, Seoul National University School of Dentistry, Seoul, Korea.

*Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Korea.

Corresponding Author: (stone90@snu.ac.kr)

Copyright © 2007 Journal of the Korean Dental Society of Anesthesiology

(open-access, http://creativecommons.org/licenses/by-nc/3.0/):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background

It is well known that nasotracheal intubation is comfort for patient compared to oral intubation. We sometimes delay extubation when it is thought that the patient can not maintain airway, or there may be other emergency associated with airway. And we sometimes experience complaint of discomfort of nasotracheal tube. But, we could not find any report on degree of discomfort of delayed nasotracheal intubation.

Methods

Eighteen patients in whom extubation of nasotraceal tube was delayed after operation because of difficulties of airway mamagement were selected. We surveyed the discomfort of nasotracheal tube with 0 to 10 visual analogue scale (VAS) and compared with the pain of operation site (VAS).

Result

The VAS of nasotracheal intubation was 6.7 ± 3.4, and VAS of the primary operation site was 3.5 ± 2.4, and VAS of flap harvest site was 5.5 ± 2.7. 10 of the patients complained of nasotracheal suction extremely and 6 patients complained of respiratory difficulties.

Conclusions

Nasotracheal intubation was discomfort and there must be intervention.

Keywords: Nasotracheal Intubation, Discomfort, Delayed extubation

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