Nasal passage-related adverse events during pediatric nasotracheal intubation
Conditions
Interventions
Sponsors
School and Hospital of Stomatology, Wenzhou Medical University
Eligibility
Sex/Gender
All
Age
2 Years to 18 Years
Inclusion criteria
Inclusion criteria: 1. Children aged 2 to 18 years; 2. Children scheduled for elective oral, dental, or maxillofacial surgery under general anesthesia, with clinically planned nasotracheal intubation for airway management; 3. Children who have already undergone cone-beam computed tomography (CBCT) examination for clinical indications during routine clinical care, and whose CBCT images are available for retrieval and evaluation by the research team; 4. Written informed consent obtained from the legal guardian. For children with appropriate comprehension ability, age-appropriate explanation will be provided, and assent or willingness to cooperate will be obtained according to the requirements of the ethics committee.
Exclusion criteria
Exclusion criteria: 1.Events occurring between CBCT examination and surgery that may significantly alter nasal anatomy or nasal passage condition, such as nasal trauma, nasal or sinus surgery, or obvious acute nasal infection; 2.Severe craniofacial deformity, severe nasal anatomical abnormality, or other special conditions that make the routine nasotracheal intubation pathway clearly unsuitable or require special airway management strategies; 3.Obvious coagulation dysfunction, hematological disease, current use of anticoagulant or antiplatelet drugs, or other conditions that may significantly increase the risk of epistaxis.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinically relevant epistaxis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Short-term postoperative safety outcomes (immediate post-extubation bleeding, PACU bleeding, alar pressure injury, recurrent epistaxis within 24h, serious adverse events);Failure of planned first nasal passage; | — |
Countries
China
Contacts
Public ContactZhuge Jinru
School and Hospital of Stomatology, Wenzhou Medical University
Outcome results
None listed