Safety and efficacy of Macintosh Laryngoscope Vs Video Laryngoscope In Nasotracheal Intubation: A Prospective Randomized Study
试验速览
- 阶段
- 3 期
- 状态
- 招募中
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- The primary outcome measure will be the success rate of nasotracheal intubation, as determined by total time taken for intubation as mentioned in the primary objectives.
研究概览
简要总结
Nasotracheal intubation is a commonly performed procedure in the operating room for oromaxillofacial and oral cancer surgery to secure the airway. Compared to oro-tracheal intubation, the intubation time are longer for naso-tracheal route and despite the optimal laryngeal views directing the tube into the trachea can be challenging and there is often the need of magill forcep to aid the intubation procedure.
The success of this procedure depends on the ability of the anesthesia provider to effectively visualize the glottis and secure a clear airway. Use of Macintosh laryngoscope remains a gold standard for Direct laryngoscopy for more than 50 years as it is easy to perform and master. In recent years, video laryngoscopy has emerged as an alternative to traditional direct laryngoscopy in nasotracheal intubation.
Video laryngoscopy provides a clear and magnified view of the glottis, which can be particularly beneficial in patients with difficult airways. This improved visualization can lead to a higher success rate of oro-tracheal intubation and a lower incidence of adverse events, such as failed intubation or esophageal intubation. However, there is limited data on the comparison between direct laryngoscopy and video laryngoscopy in nasotracheal intubation, and further research is needed to determine the benefits and limitations of each technique.
The purpose of this study is to compare the effectiveness, safety, and ease of use of direct laryngoscopy and video laryngoscopy in nasotracheal intubation. The study will assess factors such as intubation success rates, intubation times, and adverse events, and will provide important information to guide clinical decision making in this area
Overall, the literature suggests that video laryngoscopy can provide several benefits compared to direct laryngoscopy in nasotracheal intubation, including improved visualization, shorter intubation times, and improved ease of use. However, further research is needed to fully understand the benefits and limitations of this technique, and to determine the best patient populations and settings for its use.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients requiring nasotracheal intubation for surgical procedures, Patients with no prior history of difficult intubation or airway abnormalities that would contraindicate nasotracheal intubation.
排除标准
- •Patients not willing to get enrolled in the study, Patients with history of cervical spine injury or instability, Patients with history of upper airway obstruction or upper airway anatomy abnormalities, Patient with ASA grading more than 3.
结局指标
主要结局
The primary outcome measure will be the success rate of nasotracheal intubation, as determined by total time taken for intubation as mentioned in the primary objectives.
时间窗: At Baseline, 1 minutes, 3 minutes and 5 minutes after intubation
次要结局
- The secondary outcome measures will include the Cormack-Lehane grading system, intubation difficulty score assessment, hemodynamic changes (BP and HR) and any adverse events (trauma, failed intubation, technical snag etc)(1 year)
研究者
Dr. Balasaheb Govardhane
D.Y Patil Medical College, Navi Mumbai