Difficult Airway Management in Maxillofacial Surgery. Other accidental threats to breathing (W75-W84)
Conditions
Interventions
Intervention 1: Control intervention: doing blind nasotracheal intubation without warming the tracheal tube. Intervention 2: Case Study: Blind nasotracheal intubation performed by using the softened
Treatment - Devices
Control intervention: doing blind nasotracheal intubation without warming the tracheal tube
Case Study: Blind nasotracheal intubation performed by using the softened tube by warm water is 50 ° C for 5 min.
Sponsors
Research vice-chancellor of Tabriz University of Medical Sciences
Eligibility
Sex/Gender
All
Age
15 Years to 65 Years
Inclusion criteria
Inclusion criteria: Exclusion criteria: 1 - limited mouth opening less than 35 mm 2 - Mallampati III and above 3 - thyromental distance of less than 65 mm 4 - limitation of neck movement 5 - sternomental distance of less than 12.5 cm 6 - Patients with a history of recurrent epistaxis 7 - patients with coagulation disorders. 8 - absence of fracture of the skull base Inclusion criteria: 1 - entering the study of patient satisfaction 2 - ASA physical class I and class II 3 - The age of patients ranged from 15 to 65 years 4 - elective maxillofacial surgeries need to nasal intubation
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubation time. Timepoint: During intubating. Method of measurement: Chronometer.;Number of attempts to intubation. Timepoint: During intubation. Method of measurement: Clinical observation.;Heart rate. Timepoint: One minute before general anesthesia, three minutes after general anesthesia, and a minute after nasal intubation. Method of measurement: continuous ECG monitoring.;Mean arterial pressure. Timepoint: One minute before general anesthesia, three minutes after general anesthesia, and a minute after nasal intubation. Method of measurement: monitoring.;Arterial oxygen saturation. Timepoint: One minute before general anesthesia, three minutes after general anesthesia, and a minute after nasal intubation. Method of measurement: Pulse oximetry.;Tube position during intubation. Timepoint: During intubation. Method of measurement: Clinical observation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Laryngospasm. Timepoint: until 24 hours after extubation. Method of measurement: Clinical observation.;Intensity of epistaxis. Timepoint: until 24 hours after extubation. Method of measurement: Clinical observation.;Hoarseness. Timepoint: until 24 hours after extubation. Method of measurement: Clinical observation.;Sore throat. Timepoint: until 24 hours after extubation. Method of measurement: Ask the patient. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactHamzeh Hosseinzadeh
Tabriz University of Medical Sciences
Outcome results
None listed