Nasotracheal Intubation
Conditions
Keywords
Nasotracheal Intubation, jaw thrust, hook-finger
Brief summary
to compare either using conventional jaw thrust technique or with a novel fingers-hook technique to facilitate video-stylet assisted nasotracheal intubation
Detailed description
It is necessary to adequately exposure of glottis during naso-tracheal intubation using video-stylet. However, inadequate upward epiglottis or over-elevation of arytenoids all inhibit the tube tip smoothly into trachea. Therefore, the study is to investigate either jaw thrust or fingers-hook technique is advantages of nasotracheal intubation.
Interventions
a video-stylet assisted nasotracheal intubation and facilitate by fingers-hook technique
a video-stylet assisted nasotracheal intubation and facilitate by conventional jaw thrust technique
Sponsors
Study design
Eligibility
Inclusion criteria
Criteria: Inclusion Criteria: 1. patients with American Society of Anesthesiologists physical status I-III 2. aged 20-65 years 3. Requiring general anesthesia undergoing oxo-maxillofacial surgery 4. unlimited mouth open 5. unlimited neck motion
Exclusion criteria
1. mouth open \< 3 cm 2. Ankylosing arthritis patients. 3. BMI≧35 kg/m2
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| grade of glottic field exposure and nasotracheal difficulty intubation score | half an hour | to compare the two different techniques in glottic field exposure and score of nasotracheal difficulty intubations scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the tube-videostylet assembly range of motion | half an hour | range motion of tip of tube-videostylet assembly advanced from nasal cavity to trachea |
Countries
Taiwan