SAFE INTUBATION DURING ANESTHESIOLOGICAL MANAGEMENT OF OPERATION TONSILLECTOMY

Abstract

Purpose. Evaluation of efficiency for soft nasopharyngeal airway type Wendl to ensure safe nasotracheal itubation during anesthesiological management of tonzillectomy operation. Materials and methods. The study included 62 patients aged 20 to 45 years, ASA grade II, who underwent tonsillectomy. All patients were divided into two groups: the 1st group (n=31) — nasotracheal intubation was performed according to standard procedures using the endotracheal tube RAE N 7, the 2nd group (n=31) — intubation was perfomed using soft elastic nasopharyngeal airway type Wendl Ch 28 connected with nasotracheal tube RAE N 7. In both groups the difficulty of passage the endotracheal tube, the degree of contamination with blood and mucus, the level of patients’ postintubation comfort were evaluated. Results. In the 2nd group the incidence of nasal bleeding decreased by 40%. Degree of contamination of the endotracheal tube with blood and mucus, the level of patients’ postintubation pain in the second group was also less. Conclusion. The use nasopharyngeal airway type Wendl provides atraumatic nasotracheal intubation during anesthesiological management of tonsillectomy.