A clinical study to find if the passage of an airway tube through the nose used for maintaining breathing during general anaesthesia causes less bleeding in the nose when the head is kept in the sideway posion.

Effect of lateral head positioning on the incidence of epistaxis during nasotracheal intubation: A randomized controlled trial - NIL

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/11/077302

Enrollment

172

Registered

2024-11-25

Start date

Unknown

Completion date

Unknown

Last updated

2024-12-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: lateral head position nasotracheal intubation: Nasotracheal intubation done through non dependent and best patent nostril prepared with Xylometazoline 0.1% drops and the patient in the

Eligibility

Inclusion criteria

Inclusion criteria: I. ASA I-II II. Patients requiring nasotracheal intubation for undergoing surgery

Exclusion criteria

Exclusion criteria: I. Refusal by the patient II. Difficulty in nasotracheal intubation due to nasal cavity obstruction by mass or deformity or recent nasal surgery III. Emergency procedures IV. History of bleeding diathesis or recurrent epistaxis V. On oral anticoagulant therapy

Design outcomes

Primary

Measure	Time frame
To compare the incidence of epistaxis during nasotracheal intubation via the non dependent nostril with the head in the lateral position versus the best patent nostril with the head in the supine positionTimepoint: 30seconds and 1 min	—

Secondary

Measure	Time frame
To find & compare the first pass success rate of the passage of nasotracheal tube via the nondependent nostril with the head in the lateral position vs the best patent nostril with the head in the normal supine positionTimepoint: 1min;To check the change to the opposite nostril was required in both the groupsTimepoint: 1 min	—

Countries

India

Contacts

Public ContactDevalina Goswami

Dept of Anaesthesiology, Pain Medicine & Critical Care

drdevalina@gmail.com919971196699

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026