Year: 2024 | Month: November | Volume: 14 | Issue: 11 | Pages: 192-196
DOI: https://doi.org/10.52403/ijhsr.20241121
Comparative Hemodynamic Effects of Nasal versus Oral Endotracheal Intubation in Children Undergoing Adenotonsillectomy: An Observational Study
Dr Sana Khan1, Dr Mudasir Amin2, Dr Tantry Tariq Gani3
1Senior Resident, Department of Anaesthesiology, Critical Care, Pain & Palliative Medicine, Government Medical College, Srinagar
2Senior Resident, Department of Neurosurgery, Sher e Kashmir Institute of Medical Sciences
3Assistant Professor, Department of Anaesthesiology, Critical Care, Pain & Palliative Medicine, Government Medical College, Srinagar
Corresponding Author: Dr Sana Khan
ABSTRACT
Background: Adenotonsillectomy is a common pediatric surgical procedure. Endotracheal intubation can be performed via nasal or oral routes. This study compares hemodynamic outcomes between nasal and oral intubation in children undergoing adenotonsillectomy.
Methods: This prospective, randomized controlled trial enrolled 100 children (ages 3-12) undergoing adenotonsillectomy. Patients were randomly assigned to nasal (n=50) or oral (n=50) endotracheal intubation. Hemodynamic parameters (heart rate, blood pressure, oxygen saturation) were recorded pre-intubation, post-intubation, and intraoperatively.
Results: Nasal intubation resulted in: Significantly lower heart rate (p<0.01), Reduced systolic blood pressure (p<0.05), Increased oxygen saturation (p<0.05) compared to oral intubation. Intraoperative hemodynamic stability was similar between groups.
Conclusion: Nasal endotracheal intubation in children undergoing adenotonsillectomy results in improved hemodynamic profiles, with reduced heart rate and blood pressure, and increased oxygen saturation. These findings support nasal intubation as a viable and potentially beneficial approach in pediatric adenotonsillectomy.
Key words: adenotonsillectomy, pediatric, anaesthesia, intubation, hemodynamics.