Left versus right nostril for nasotracheal intubation
The Effect of Nostril Side on Epistaxis During Nasotracheal Intubation
NA · Seoul National University Hospital · NCT06605989
This test checks whether using the left or right nostril causes more nosebleeds during nasotracheal intubation in adults having elective surgery.
Quick facts
| Phase | NA |
|---|---|
| Study type | Interventional |
| Enrollment | 208 (estimated) |
| Ages | 19 Years and up |
| Sex | All |
| Sponsor | Seoul National University Hospital (other) |
| Locations | 2 sites (Seoul, Dongjak-gu and 1 other locations) |
| Trial ID | NCT06605989 on ClinicalTrials.gov |
What this trial studies
This is a prospective, randomized controlled comparison of left- versus right-nostril nasotracheal intubation in adult patients undergoing elective surgery. After induction and muscle relaxation, a preformed nasal RAE tube will be inserted 3–4 cm into the assigned nostril and then advanced into the oral cavity, with final nasotracheal intubation performed using Magill forceps. An investigator will inspect the nasal passages with a fiberoptic bronchoscope to record the occurrence and severity of epistaxis. Investigators will compare the incidence and severity of bleeding between the two randomized groups.
Who should consider this trial
Good fit: Adult patients scheduled for elective surgery who require nasotracheal intubation and do not have severe nasal deformity or active severe epistaxis are ideal candidates.
Not a fit: Patients with severe nasal deformity, current severe epistaxis, inability to allow tube insertion in a given nostril, or those undergoing non-elective/emergency intubation are unlikely to benefit from this protocol.
Why it matters
Potential benefit: If successful, the result could reduce nosebleeds and related complications by identifying which nostril is safer for nasotracheal intubation.
How similar studies have performed: Previous small trials have compared nostril side and reported mixed results, so the approach is not entirely novel but evidence remains limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * adult patients requiring nasotracheal intubation for elective surgery Exclusion Criteria: * refuse to participate in the study * severe deformity in the nose * current severe epistaxis * cannot insert the tube into a specific nostril side due to any reason
Where this trial is running
Seoul, Dongjak-gu and 1 other locations
- Seoul Metropolitan Government Seoul National University Boramae Medical Center — Seoul, Dongjak-gu, South Korea (RECRUITING)
- Gangnam Severance Hospital — Seoul, Gangnam-gu, South Korea (RECRUITING)
Study contacts
- Principal investigator: Jung-Man Lee, M.D.,Ph.D. — Seoul National University College of Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center
- Study coordinator: Jung-Man Lee, M.D., Ph.D.
- Email: jungman007@gmail.com
- Phone: +82-2-870-2513
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Nasotracheal Intubation