Nasotracheal Intubation
Conditions
Keywords
Airtraq NT, nasotracheal intubation, right, left
Brief summary
After Ethics committee approval investigators decided to enroll 40 patients ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. We primay aimed to compare the glottis visualization time, intubation time and total intubation times.
Detailed description
After Ethics committee approval, investigators decided to enroll 40 pateints ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. In addition is the 90° anti-clockwise rotation of the tip of the tube helpful to insert the tube into the trachea. Patients were randomized into right and the left nostril groups. After standard anesthesia induction with propofol and fentanyl, rocuronium was used for muscle relaxation. Primary aim of this prospective study was to compare the glottis visualization time, intubation time and total intubation times. The Cormack-Lehane grades, the need for optimization, tube adjustment maneuvers, hemodynamic data, occurrence of epistaxis of the patients were recorded during the process.
Interventions
DEVICEAirtraq NT
channeled video laryngoscope for nasotracheal intubation
Sponsors
Kocaeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* 18-65 years of age * undergoing elective maxillofacial surgery * dental surgery * plastic surgery requiring nasotracheal intubation * ASA I-II
Exclusion criteria
* \>18 years and \> 65 years * BMI\> 35 * ASA III-IV * fasted patients * patients do not require nasotracheal intubation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| insertion time of the device | 20 seconds | handling the device till the optimal glottis visualization occurred |
| nasotracheal intubation time with the device | 30 seconds | handling the device till the visualization of tracheal tube through the vocal cords |
| total nasotracheal intubation time with the device | 40 seconds | handling the device till the confirmation of nasotracheal intubation with end-tidal carbodioxide |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| optimisation maneuvers during intubation with the device | 20 seconds | need for optimisation maneuvers during nasotracheal intubation |
| minor complications related to the device | 40 seconds | epistaxis, nose pain, bronchospasm |
Countries
Turkey (Türkiye)
Outcome results
None listed