Intubation, Nasotracheal Intubation
Conditions
Keywords
Macintosh laryngoscope, Pentax, Glidescope
Brief summary
Nasotracheal intubation (NTI) is usually required in patients undergoing maxillofacial surgery. Though video-scopes have been demonstrated to well perform in oral endotracheal intubation, limited information presents in NTI. The aim of the study is to compare the efficacy of video-scopes in NTI and compared with the traditional direct laryngoscope.
Interventions
the device is to assist nasotracheal intubation
the device is to assist the nasotracheal tube into trachea
the device is to assist the nasotracheal tube into trachea
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with American Society of Anesthesiologists physical status I-III * aged 20-65 years * Requiring Nasotracheal Intubation under general anesthesia
Exclusion criteria
* mouth open \< 3 cm * limited neck extension \< 25 degree * Ankylosing arthritis patients. * BMI≧35 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| number of the patients with successful nasotracheal intubation and scoring difficult intubation scale | half an hour | Nasotracheal intubation assisted by a video-stylet may be performed in patients following induction of anesthesia (fentanyl 2 micro-gram/kg, thiamylal 5 mg/kg, cis-atracurium 0.2 mg/kg and propofol 1 mg/kg) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| time to intubate | 10 minutes | time of Intubating the nasotracheal tube (NT) from selected nostril to trachea is continuously calculated but separately into two parts. part one: from termination of mask ventilation and mask removed from face, to the NT tip on the nasopharynx. part two: advancing NT from nasopharynx, through vocal cord into trachea, to present of 3 end tidal carbon dioxide waveforms. |
Other
| Measure | Time frame | Description |
|---|---|---|
| postoperative nasal bleeding, sore throat and hoarseness | 2 days | Events of intubating related nasal bleeding are recorded on selected nostril and oral cavity at 3 minutes post-intubation and post-operatively. Incidences of sore throat and hoarseness are evaluated before patients out of recovery room and the following morning |
Countries
Taiwan