Intubation
Conditions
Brief summary
The aim of study is to evaluate whether the head position facilitates pediatric nasotracheal intubation when using a video-laryngoscope.
Interventions
OTHERHead position
Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.
Sponsors
Ajou University School of Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
2 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Age 2-8 years old * Amerian Society of Anesthesiologists I or II * Patients who need nasotracheal intubation for surgery
Exclusion criteria
* A recent airway infection within 14 days * Anatomical deformity in head and neck * Modified Mallampati score IV * Bleeding tendency in preoperative laboratory examination
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation time | Within 5 minutes | The time between entry of the nasotracheal tube into a nostril and appearance of a carbon dioxide wave on the monitor. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation difficulty scale | During intubation | The sum of score from seven variables including intubation attempts, supplementary operators, the use of alternative techniques, glottic exposure, the lifting force applied during laryngoscopy, the necessity of applied external laryngeal pressure, and position of vocal cords. From 0 (easiest) to 8 (most difficult) |
| Epistaxis score | When removing the video-laryngoscope | grade 1 (no-epistaxis), grade 2 (mild, blood on the tube only), grade 3 (moderate, blood pooling in the pharynx), or grade 4 (severe: blood impedes intubation) |
| Numeric rating scale of intubation difficulty | During intubation | Subjective intubation difficulty from 0 (easiest) to 10 (most difficult) |
Countries
South Korea
Outcome results
None listed