Anesthesia Intubation Complication
Conditions
Brief summary
The value of this study is to compare between stented endotracheal tube with nelaton catheter and non stented tube as regard nasotracheal related complications as epistaxis and nasal cavity injury.
Interventions
DEVICEEndotracheal tube
Nasotracheal intubation will be done with endotracheal tube
DEVICENelaton catheter
plus nelaton catheter
Sponsors
Ain Shams University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Intervention model description
assignment
Eligibility
Sex/Gender
ALL
Age
3 Years to 9 Years
Healthy volunteers
No
Inclusion criteria
* Pediatric patients scheduled for dental surgery under general anesthesia age 3-9 years * physical status American society of Anesthesiologist(ASA) I orII
Exclusion criteria
* History of recurrent epistaxis * Coagulopathy * Previous nasal surgery * History of nasal trauma * Severe renal , hepatic or cardiovascular disease * History of drug allergy to the drugs used in the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence and severity of Epistaxis | immediately after nasotracheal intubation | An independent anesthesiologist who did not observe the tube insertion will assess the incidence and severity of epistaxis using a laryngoscope immediately after tube passage through the nasal cavity , four grades to evaluate epistaxis 1- no epistaxis 2- mild epistaxis ,blood apparent on the surface of the tube 3-moderate epistaxis pooling of blood on the posterior pharyngeal wall 4- severe epistaxis , large amount of blood in the pharynx impeding nasotracheal intubation and necessitating urgent orotracheal intubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Histopathology of the endotracheal tube contents after extubation | immediately after extubation | after extubation the tube contents will be collected in a 5 ml syringe by using sterile swab then tissues will be separated and will be sent for histopathology , the remnant contents will be sent for microscopy , grading the contents as follow 1- secretions only 2- secretions plus blood 3- secretions , blood plus tissues . |
Countries
Egypt
Outcome results
None listed