Nasotracheal Tube Passage Through Nasal Cavity
Conditions
Keywords
Nasotracheal tube size based on radiological images of nose.
Brief summary
This trial is planned to estimate the size of nasotracheal tube (NTT) by calculating the diameter of both nasal cavity in radiological images of nose (CT scan/MRI) at the level below the inferior turbinate and floor of nose in coronal planes. Smallest diameter will be considered to calculate the outer diameter of NTT, hence the size .
Detailed description
The planned trial will estimate the size of nasotracheal tube (NTT) by calculating the diameter of both nasal cavity in radiological images of nose (CT scan/MRI) at the level below the inferior turbinate and floor of nose at different levels in coronal planes. Smallest diameter will be considered to calculate the outer diameter of NTT, hence the size. The side of nasotracheal intubation will be decided after view the radiological images and the estimated size of NTT will be used. Finally the ease of intubation and complications will be recorded.
Interventions
OTHERNasotracheal Intubation
side of nostril and size of endotracheal tube estimation for nasotracheal intubation will be done based on radiological imaging ( CT/MRI head)
Sponsors
Rajiv Gandhi Cancer Institute & Research Center, India
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
1. patients requiring nasal intubation for oromaxillofacial surgeries
Exclusion criteria
* 1\. Midface instability 2. Coagulopathy 3. Suspected basilar skull fractures 4. Large nasal polyps 5. Suspected nasal foreign bodies 6. Recent nasal surgery 7. History of frequent episodes of epistaxis 8. Prosthetic heart valves (increased risk of bacteremia during the insertion). 9. Patients with deranged liver and renal functions.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Successful nasal intubation by selecting the correct size of nasotracheal tube estimated by measuring the diameter of nasal cavity in coronal section just below the inferior turbinate in radiological images. | After enrolment of the patient and before intubation | The diameter of both nasal cavities in coronal section of CT/MRI will be calculated at the level just below the inferior turbinate in anterior nasal cavity when inferior turbinates just appeared in the radiological image, than at level of maxillary sinus and just before cohanal opening in radiological images. Minimal diameter will be used to estimate the size of nasotracheal tube before intubation.The images will also be used to select the side of nasal intubation after ruling out any nasal pathology like DNS, Spurs and marked turbinate hypretrophy. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To find the complications associated with nasal intubations that were performed after assessing the radiological images. | At the time of intubation | The radiological images will be studied prior to intubation, the appropriate size of the nasotracheal tube will be selected and after ruling out any nasal pathology like DNS , spurs, concha bullosa side of nasal intubation will be decided. |
Countries
India
Outcome results
None listed