Evaluation of Nasopharynx Bleeding after Nasotracheal Intubation in Dental Patients with Corrected Coagulopathy

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.