Volume 13, Issue 2 ( June 2021 2021)                   Iranian Journal of Blood and Cancer 2021, 13(2): 40-43 | Back to browse issues page

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Mahdavi S A, Fallahinejad Ghajari M, Ansari G, eshghi P, Rezvani Y. Evaluation of Nasopharynx Bleeding after Nasotracheal Intubation in Dental Patients with Corrected Coagulopathy. Iranian Journal of Blood and Cancer 2021; 13 (2) :40-43
URL: http://ijbc.ir/article-1-1006-en.html
1- Associate Prof., Anesthesiology Research Center, Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Professor, Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Professor of Pediatric Congenital Hematologic Disorders Research Center, Research Institute for Children`s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Assistant Professor, Department of Pediatric Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran , yrezvani5@gmail.com
Abstract:   (2664 Views)

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.

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: Original Article | Subject: Pediatric Hematology & Oncology
Received: 2020/05/10 | Accepted: 2021/05/29 | Published: 2021/07/15

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