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Background: During nasotracheal intubation it is important to have proper pretreatment for nasal mucosa constriction and nasal cavity expanding. Nasal packing of epinephrine gauze is widely used as well as xylometazoline. The aim of this study was to compare and evaluate the efficacy of prophylactic intranasal spray of xylometazoline against epinephrine gauze packing in expanding the nasal cavity. Methods: Volunteers (n = 32) in their twenties without nasal disease such as septal deviation or rhinitis were enrolled in the study. The more patent nostril in each subject was measured by acoustic rhinometry as the base value. After intranasal spray of xylometazoline, the same nostril was remeasured by same method. Twenty four hours later, intranasal packing of epinephrine gauze was done and the same treatment was done. Subject preferences about the procedures were asked. Results: There were significant difference among treatments (base value: 0.582 ± 0.164 cm2, xylometazoline spray: 0.793 ± 0.165 cm2, epinephrine gauze packing: 0.990 ± 0.290 cm2) in acoustic rhinometry. While the epinephrine gauze packing showed more efficient mucosa constriction, subjects preferred xylometazoline spray. Conclusions: Even though xylometazoline spray was less effective than epinephrine gauze packing, the simplicity and convenience compensated. In patients undergoing nasotracheal intubation, xylometazoline spray can be an alternative to epinephrine gauze packing.

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기사명 저자명 페이지 원문 목차
A comparison of epidural infusion of 0.2, 0.25, and 0.3% ropivacaine with fentanyl after unilateral total knee arthroplasty 이재호 pp.180-181

Treatment of digit ulcers in a patient with Buerger's disease by using cervical spinal cord stimulation : a case report 이재도 pp.167-171

The determinants of propofol induction time in anesthesia Yushi U. Adachi pp.121-126

Jaw-thrust induces sympathetic responses during induction of general anesthesia 지대림 pp.127-131

Perioperative respiratory adverse events in children with active upper respiratory tract infection who received general anesthesia through an orotracheal tube and inhalation agents 구본녀 pp.136-141

Spinal cord stimulation : panacea for incurable diseases? 심재항 pp.103-104

Iatrogenic aortic insufficiency following concomitant septal myectomy and aortic valve replacement 이종화 pp.172-173

Appropriate design of research and statistical analyses : observational versus experimental studies 강현 pp.105-107

The effectiveness of L2 nerve root block for the management of patients who are suffering from chronic low back and referred pain 조용현 pp.182-183

Fluid extravasation caused by bladder perforation during bipolar transurethral resection using saline solution : a case report 최윤숙 pp.163-166

Anesthesia under cardiopulmonary bypass for video assisted thoracoscopic wedge resection in patient with spontaneous pneumothorax and contralateral post-tuberculosis destroyed lung 김성협 pp.174-176

The impact of remifentanil on incidence and severity of postoperative nausea and vomiting in a university hospital-based ambulatory surgery center: a retrospective observation study Kiichi Hirota pp.142-146

Effect of preoperative anxiety on spectral entropy during induction with propofol 최원준 pp.108-113

Anesthetic management including extracorporeal membrane oxygenation therapy of liver transplant recipient with life-threatening hypoxemia : a case report 김갑수 pp.151-157

Anaphylactic reactions after cisatracurium administration in two patients : a report of two cases 하승일 pp.147-150

Possible statistical problems of the original paper titled "Predictors of difficult intubation" : a bad start 오세철 pp.184-185

Preanesthetic dexmedetomidine 1 μg/kg single infusion is a simple, easy, and economic adjuvant for general anesthesia 신혜원 pp.114-120

Application of cerebral oximetry for a parturient with Takayasu's arteritis undergoing cesarean section : a case report 안원식 pp.158-162

The effect of xylometazoline spray for expansion of nasal cavity 배진호 pp.132-135

Green discoloration of urine after propofol infusion 이정삼 pp.177-179

참고문헌 (10건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Henderson J. Airway management in the adult. In: Miller's Anesthesia. 7th ed. Edited by Miller RD: Philadelphia, Churchill Livingstone. 2009, pp 1586-7. 미소장
2 A Prospective Study on Complications after Nasotracheal Intubation in Oral and Maxillofacial Surgery Patients 소장
3 Nasotracheal intubation: a simple and effective technique to reduce nasopharyngeal trauma and tube contamination. 네이버 미소장
4 Effects of Nasopharyngeal Airway on Incidence of Epistaxis and Ease of Tube Advancement duirng Nasotracheal Intubation 소장
5 A comparative analysis of the decongestive effect of oxymetazoline and xylometazoline in healthy subjects. 네이버 미소장
6 Correlation between Improvement of Subjective Nasal Patency and Changes of Parameters Measured by Acoustic Rhinometry after Septoplasty and Outfracturing of Both Turbinates 소장
7 Effective removal of epistaxis during nasotracheal intubation utilizing a fiberoptic scope in a difficult airway: A case report 소장
8 Xylometazoline pretreatment reduces nasotracheal intubation-related epistaxis in paediatric dental surgery 네이버 미소장
9 Value of Acoustic Rhinometry for Measuring Nasal Valve Area 네이버 미소장
10 Acoustic rhinometry in rhinological practice: discussion paper. 네이버 미소장

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