Oromaxillofacial surgery (OMFS) procedures involving the mandible and intra-oral pathology, requiring nasotracheal intubation: primarily trauma, also abscesses and tumours Surgery
Conditions
Interventions
Patients presenting with OMFS trauma will form the bulk of the research population. By necessity these patients may be taken to theatre on the day of admission ? we would therefore anticipate waiving
Sponsors
NHS Greater Glasgow and Clyde (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Adults with capacity undergoing general anaesthesia 2. Nasotracheal intubation planned, as agreed by both the anaesthetist and surgeon involved in the patient?s care, with administration of a neuromuscular blocking drug prior to intubation
Exclusion criteria
Exclusion criteria: 1. Planned fibreoptic intubation or surgical airway 2. Manual inline stabilization required, or an external cervical fixation device (e.g. Halo)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Use of the McGill?s forceps as an aid to intubation ? this is used as a surrogate for difficulty in positioning the tracheal tube, and subsequent airway tissue trauma. This will be known immediately by the laryngoscopist. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of attempts at laryngoscopy 2. Number of attempts at tracheal tube passage 3. Failures/cross-overs to McGrath® MAC or other rescue technique, including patient wake-up 4. Cormack Lehane classification (CLC) and percentage of glottic opening (POGO) 5. Ease of TT insertion/any ?hold-up? 6. Dental trauma requiring OMFS referral 7. Airway soft tissue (soft palate/tonsillar pillars) requiring ENT/OMFS referral These secondary outcome measures will all be known immediately, again by the laryngoscopist. 8. Incidence of sore throat. will be known after the patient's operation, either from questioning in the recovery room, or later on the ward. In all cases, this will be known within 24 hours. | — |
Countries
United Kingdom
Outcome results
None listed