Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists physical status(ASA) grade 1 and 2 patients scheduled for elective or emergency maxillofacial or oral cavity surgeries requiring nasotracheal intubation.
Exclusion criteria
Exclusion criteria: 1.Anticipated difficult endotracheal intubation (Mallampati score IV and thyromental distance of 2.Coagulopathy 3.A history of nasal deformity, obstructive sleep apnoea, recurrent epistaxis, nasopharyngeal abnormality or surgery 4.Severe obesity (body mass index [BMI] >=35kg/m2) 5.Cervical spine instability/pathology or cervical myelopathy 6.Pregnancy 7.Neck mass 8.Gastro oesophageal reflux disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken for nasotracheal intubationTimepoint: T1â??Time taken to pass endotracheal tube from nose into oropharynx T2â??Time taken to pass endotracheal tube from oropharynx into glottic inlet T3â??Time taken to pass endotracheal tube from glottic inlet to observation of first capnographic trace | — |
Secondary
| Measure | Time frame |
|---|---|
| Complications in the two groupsTimepoint: At the time of glottic visualization, 1 and 3 minutes after intubation;Glottic view as percentage of glottis opening (POGO) scoreTimepoint: At the time of laryngoscopy;Modified nasal intubation-difficulty scale (NIDS) ratingTimepoint: At the time of laryngoscopy | — |
Countries
India
Contacts
St.Johns Medical college and hospital, Bengaluru-560034.