nasotracheal intubation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age is equal to or greater than 18 years old, and American Society of Anesthesiologists physical status??? 2.Patients scheduled for elective surgery under general anesthesia requiring nasotracheal intubation 3.Agree to accept the study and sign the informed consent
Exclusion criteria
Exclusion criteria: 1.Basilar skull fracture or cerebrospinal fluid leakage 2. A history of nasal deformity (e.g. bilateral strait nasal cavity obstruction, polyps, nasal trauma, or surgery) 3.Chronic suppurative sinusitis 4.Upper respiratory tract infection was unrecovered in the past two weeks 5.Patients with high risk of reflux aspiration such as gastric emptying and a large amount of secretions 6. Had a history of difficult airway intubation or difficulty anticipated in airway management, a Cormack and Lehane(CL) score of the laryngoscopic view of 4, limited cervical vertebra hypsokinesis, mentum-to-thyroid distance, or mouth opening<3 cm 7.Receiving anticoagulant therapy or coagu lopathy 8.Mentally ill people
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubation time, included catheter reaching oropharynx, glottis exposure time, catheter insertion time and total intubation time; | — |
Secondary
| Measure | Time frame |
|---|---|
| The success rate of first intubation;Whether there was mucosal bleeding during intubation;Blood pressure and heart rate after anesthesia induction;Lowest oxygen saturation;The number of times the catheter was inserted into the glottis failed;Assistant measure and times, including pressing cricoid cartilage, forceps assisted intubation or / and rotating tracheal intubation;The number of times to replace the nasal cavity for tracheal intubation;Total success rate of intubation;Postoperative complications included sore throat, nasal pain, persistent nasal bleeding and dyspnea;The operator 's satisfaction and anxiety scores;Number of times the operation is interrupted;The number of intubations; | — |
Countries
China
Contacts
The Third Affiliated Hospital of Sun Yat-sen University