Nasotracheal Intubation
Conditions
Keywords
Magill forceps, cuff inflation, Nasotracheal Intubation
Brief summary
to investigate the effectiveness of techniques of either using Magill forceps or cuff inflation in facilitation of nasotracheal tube advancement into trachea
Detailed description
Patients who undergo oxo-maxillofacial surgery need naso-tracheal intubation to present good surgical view-field. but, sometimes, the naso-tracheal tube is unable to advance from nasopharynx, oropharynx, into trachea without assistance. Using techniques of either Magill forceps or cuff inflation is advantageous is not determined.
Interventions
PROCEDUREMagill forceps
Magill forceps techniques to facilitate nasotracheal tube advancement into trachea
PROCEDUREcuff inflation
cuff inflation techniques to facilitate nasotracheal tube advancement into trachea
Sponsors
Kaohsiung Medical University Chung-Ho Memorial Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. patients with American Society of Anesthesiologists physical status I-III 2. aged 20-65 years 3. Requiring Nasotracheal Intubation under general anesthesia 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 |
|---|---|---|
| the technique spending time in this time interval and first attempt successful rate | 10 minutes | to measure the time taken of either using Magill forceps or with cuff inflation techniques in successfully intubated patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| total intubation time taken | half an hour | measure the whole intubation time taken from tube tip into selected nostril, to nasopharynx, to oropharynx, into trachea, till capnography showing of 3 consecutive CO2 waveforms |
| glottic injury and cuff damages during tube advanced | half an hour | to assess the bleeding point of glottic area and the cuff injury of endotracheal tube |
| postoperative nasal bleeding, sore throat and hoarseness | 2 days | Events of intubating related nasal bleeding were measured on selected nostril and oral cavity at 3 minutes post-intubation. Incidences of sore throat and hoarseness are evaluated before patients out of recovery room and the coming morning |
Countries
Taiwan
Outcome results
None listed