Procedural time and success rate for nasal fiberoptic intubation in a patient aged 18-65 classified by American Society of Anesthesiologists (ASA) physical status 1-3 is scheduled for elective surgery under general anesthesia in Ramathibodi hospital Airway management, fiberoptic intubation, flexible scope intubation, Flexible bronchoscope, Fiberoptic bronchoscope, nasal intubation, modified nasopharyngeal airway, nasal airway
Conditions
Interventions
The nasopharyngeal airway is longitudinally cut as dash lines by rotatory cutter to facilitate peeling after successful nasal fiberoptic intubation.
The modified nasopharyngeal airway is placed throu
Experimental Device,No Intervention No treatment
Nasal fiberoptic intubation with modified nasopharyngeal airway,Nasal fiberoptic intubation with conventional technique
Sponsors
Faculty of Medicine Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: A patient who has age 18-65 years with ASA 1-3 is scheduled elective surgery under general anesthesia
Exclusion criteria
Exclusion criteria: Refuse to participate, predicted difficult intubation coagulopathy (platelet < 100000 or INR>1.5) or use antiplatelet or anticoagulant, nasal passage obstruction such as nasal polyp or nasopharyngeal mass, poor cardiopulmonary reserve, coronary artery disease, reactive airway disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubation time start counting from inserting FOB/modified nasopharyngeal airway until removing the flexible bronchoscope from the nare. Remove the flexible bronchoscope from the nare The timing was reviewed by video recording | — |
Secondary
| Measure | Time frame |
|---|---|
| Rates of failed attempt After end of the intervention Oxygen saturation, intubation time, completely withdrawn bronchoscope from nares,Rates of failed intubation After end of the intervention Unsuccessful intubation within 3 attempts, Required intubation by attending anesthesiologist,Nasal bleeding Within 24 hours after end of the intervention The degree of visibility,Airway maneuver After end of the intervention Airway maneuver to obtain adequate laryngeal view | — |
Countries
Thailand
Contacts
Public ContactWaralak Raksong
Department of Anesthesiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University
Outcome results
None listed