Nasotracheal Intubation
Conditions
Brief summary
The purpose of the study is to investigate the effect of the nostril side on epistaxis during nasotracheal intubation.
Detailed description
This prospective randomized controlled study was approved by the IRB of our institute. Patients requiring nasotracheal intubation will be screened for eligibility for the study. Then, patients will be randomized to one of two groups; (Group I: tube will be inserted through the left nostril and advanced into the oral cavity / Group II: tube will be inserted through the right nostril and advanced into the oral cavity). After induction of anesthesia and muscle relaxation, the preformed nasal RAE (Ring-Adair-Elwyn) tube will be inserted via the nostril, which is assigned to each patient according to the group, approximately 3-4 cm. Next, an anesthesiologist will advance the tube into the oral cavity. After the tube is placed in the oral cavity, the anesthesiologist will perform nasotracheal intubation with Magill forceps. After that, an investigator will check the occurrence of epistaxis due to nasotracheal intubation and its severity with a fiberoptic bronchoscope. After obtaining all data, investigators will analyze the incidence of epistaxis and its severity between the two groups.
Interventions
PROCEDURENasotracheal intubation
For nasotracheal intubation, the nasal RAE tube will be first inserted through the left nostril for patients in the left nostril side arm. For nasotracheal intubation, the nasal RAE tube will be first inserted through the right nostril for patients in the right nostril side arm.
Sponsors
Seoul National University Hospital
SMG-SNU Boramae Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* adult patients requiring nasotracheal intubation for elective surgery
Exclusion criteria
* refuse to participate in the study * severe deformity in the nose * current severe epistaxis * cannot insert the tube into a specific nostril side due to any reason
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| epistaxis | during nasotracheal intubation | epistaxis due to nasotracheal intubation |
Countries
South Korea
Contacts
CONTACTJung-Man Lee, M.D., Ph.D.
PRINCIPAL_INVESTIGATORJung-Man Lee, M.D.,Ph.D.
Seoul National University College of Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center
Outcome results
None listed