Patients undergoing dental and oral and maxillofacial surgery under general anesthesia in whom nasotracheal intubation was clinically indicated
Conditions
Interventions
This study is a prospective interventional comparative study using three types of intubation devices: video laryngoscopes, direct laryngoscopes, and fiberoptic bronchoscopes. Eligible patients will
Sponsors
Kagoshima University Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Adult patients aged 18 years or older Patients undergoing dental and oral and maxillofacial surgery under general anesthesia Patients in whom nasotracheal intubation is clinically indicated Patients who provide written informed consent
Exclusion criteria
Exclusion criteria: Patients with nasal obstruction, deformity, or asymmetry identified on CT or panoramic radiography Patients with anticipated difficult intubation Patients at high risk of bleeding, including those with coagulation disorders or receiving anticoagulant therapy Patients judged to be unsuitable for safe participation in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total intubation time (seconds) (start: insertion of the endotracheal tube into the nostril; end: confirmation of the ETCO2 waveform) | — |
Secondary
| Measure | Time frame |
|---|---|
| First-attempt intubation success rate Overall success rate (within a maximum of three attempts) Number of intubation attempts Occurrence of hypoxemia (SpO2 < 90%) Epistaxis (presence of bleeding requiring suction) Operator experience (years) and number of previous nasotracheal intubations performed Presence of postoperative sore throat | — |
Countries
Japan
Contacts
Public ContactMasanori Tsukamoto
Kagoshima University Hospital Systemic Management for Dentistry
Outcome results
None listed