Abstract

Nasotracheal intubation (NTI) is a widely used technique in maxillofacial surgery that allows optimal surgical field access while maintaining secure airway control. Epistaxis is one of the most reported complications, resulting from mucosal trauma in the nasal passage. Although the bleeding is typically self-limiting, it can complicate laryngoscopy, obscure visualization, and could lead to an airway emergency. To mitigate this risk, various strategies and device modifications have been developed. Advancements such as video laryngoscopy, fiberoptic visualization, administration of topical vasoconstrictors, and refinements in nasal endotracheal tube (ETT) design and insertion technique have been investigated to minimize epistaxis and enhance patient safety.

Author Details

Eleanor R. Hodge, DNP(c), BSN, RN; Terri Cahoon, DNP, CRNA

Sigma Membership

Non-member

Type

DNP Capstone Project

Format Type

Text-based Document

Study Design/Type

Case Study/Series

Research Approach

Translational Research/Evidence-based Practice

Keywords:

Nasotracheal Intubation, Epistaxis, Vasoconstrictors

Advisor

Ellen Buckner

Second Advisor

Allyson Maddox

Degree

DNP

Degree Grantor

Samford University

Degree Year

2026

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2026-01-27

Full Text of Presentation

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Additional Files

Abstract.pdf (97 kB)

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