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Head Position for Endotracheal Intubation

Not Applicable
Completed
Conditions
Intubation; Difficult
Registration Number
NCT02418741
Lead Sponsor
National Medical Center, Seoul
Brief Summary

The purpose of this study is to investigate whether degree of neck flexion affect on laryngeal view and discomfort during endotracheal intubation in adult patients.

Detailed Description

The neck flexion using a 8 to 10 cm head elevation has been suggested to align laryngeal, pharyngeal and oral axes and facilitate endotracheal intubation by direct laryngoscopy. There have been scarce clinical studies about the appropriate degree of neck flexion for endotracheal intubation. In the present study, the laryngeal view and physician's discomfort during endotracheal intubation were evaluated according to the two degrees of neck flexion(4 cm vs 8 cm) using a 4 or 8 cm height of pillows, respectively, in adult patients.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Elective operation time ≤2hrs
  • American Society of Anesthesiologist, Physical Status 1 or 2
  • age ; 18 - 90 years
Exclusion Criteria
  • patient has upper respiratory infection symptoms
  • limited mouth opening
  • teeth problems
  • expecting difficult airway
  • congenital heart disease
  • patient has a possibility of aspiration pneumonia

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Laryngeal view as index of ease of insertionone year

Cormack Lehane grade during endotracheal intubation

Secondary Outcome Measures
NameTimeMethod
Discomfort of anesthesiologist during endotracheal intubationone year

Anesthesiologist can feel difficulties in mouth opening and in insertion of laryngoscopic blade into oral cavity according to the degrees of neck flexion

Trial Locations

Locations (1)

National Medical Center

🇰🇷

Seoul, Junggu, Korea, Republic of

National Medical Center
🇰🇷Seoul, Junggu, Korea, Republic of

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