Statement Intubated GA Non-intub.GA IVS Comment
|
May cause nasal bleeding |
Yes* |
No |
No |
*Nasal intubation |
|
May cause urinary retention |
Yes+ |
Yes-* |
Yes-* |
*morphine |
|
May use water spray? |
Yes |
Yes-* |
Yes |
*Skill of assistant |
|
Aspiration a risk? |
Yes-* |
Yes- |
No |
*when placing and removing tube |
|
Complications/risks increase/time |
Yes+ |
Yes- |
No |
|
|
Must use local anesthesia |
No |
No* |
Yes |
*must use during light GA |
|
Depth of anesthesia 1-10 |
10* |
8 |
4 |
*Just for tube through vocal cords |
|
Pressure nerve damage: elbow,leg |
Yes+ |
Yes- |
No |
|
|
Pressure hair loss |
Yes |
Yes- |
No |
|
|
Vocal cord damage |
Yes* |
No |
No |
*tube forced through vocal cords |
|
Co-operation by patient? |
No |
Yes* |
Yes |
*during light GA |
|
Muscle pain |
Yes* |
No |
No |
*If paralyzed to place tube |
|
Corneal abrasion risk |
Yes |
Yes- |
No |
|
|
Good for severely retarded? |
Yes+ |
Yes- |
No |
|
|
Good for young/uncooperative? |
Yes+ |
Yes |
No |
|
|
Intubation of stomach? One lung? |
Yes* |
No |
No |
*fatal if not detected |
|
Nasal or vocal polyp formation |
Yes |
No |
No |
|
|
Relative Risk 1-10 low-high |
10 |
8 |
2 |
|
|
Relative co-operation 1-10 |
0 |
7* |
10 |
*during light GA phases |
|
Bite registration |
Poor* |
Good |
Excel. |
*throat pack pushes tongue up |
|
Minimum recovery time |
1hr |
30min |
None |
|
|
Laryngeal edema, horseness |
Yes |
No |
No |
|
|
Good for routine restorative cases? |
No* |
Yes- |
Yes+ |
*throat pack pushes tongue up |
|
Can change depth for cooperation? |
No |
Yes |
Yes |
|
|
Throat pack pushing up tongue? |
Yes |
No |
No |
|
|
Large, intrusive equipment |
Yes |
No |
No |
|
|
Possible bladder damage |
Yes |
No |
No |
|
|
Catheterize bladder for long case? |
Yes |
No |
No |
|
|
Catheterization=infection risk? |
Yes |
No |
No |
|
|
Cost 1-10 low-high |
10 |
8 |
8 |
|
|
Technical difficulty 1-10 |
4 |
8 |
10 |
|
|
Nausea and vomiting |
Yes (1:15) |
Yes* |
Rare |
*(1:300) |
|
Education required 1-10 |
10 |
10 |
6 |
|
|
Pulmonary infection |
Yes |
No |
No |
|
|
Can treat on full stomach? |
No* |
No |
Yes |
*Only in hospital emergencies |