Nasotracheal intubation in patients undergoing elective oral and maxillofacial surgery. Nasotracheal intubation Hemodynamic change Epistaxis Intubation time Video-Light Intubating Stylet Direct laryngoscope
Conditions
Interventions
Use the DL for nasal intubation,Use the SL for nasal intubation
Experimental Procedure/Surgery,Active Comparator Procedure/Surgery
DL group,SL group
Sponsors
Maharat Nakhon Ratchasima Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1. Adults age 18-99 years 2. Scheduled for elective oral or maxillofacial surgery under general anesthesia with an indication for nasotracheal intubation 3. American Society of Anesthesiologists (ASA) physical status 1-3
Exclusion criteria
Exclusion criteria: 1. Basilar skull fracture 2. Severe maxillofacial fracture 3. Coagulopathy, current anticoagulant therapy, or any condition associated with an increased risk of significant epistaxis 4. Nasal obstruction caused by severe nasal stenosis or intranasal foreign bodies 5. Acute epiglottitis with a potential risk of complete airway obstruction during intubation 6. Patients at high risk of pulmonary aspiration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intubation time From apply ETT into the nostril until remove device outside tube into the nostril until remove the device duration in second,success rate success within 3 times times | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of epistaxis after finished nasotracheal intubation Grading severity of bleeding: bleeding score,Hemodynamic change Baseline, after induction, 3 and 5 minutes after intubation SBP , DBP, MAP, HR | — |
Countries
Thailand
Contacts
Public ContactThidarat Ariyanuchitkul
Maharat Nakhon Ratchasima Hospital
Outcome results
None listed