Comparison of Different Tools to Facilitate Nasotracheal Tube Placement Under Video-laryngoscope Use

Not Applicable

Completed

• Conditions: Nasotracheal Intubation
• Interventions: Procedure: Magill forceps; Procedure: cuff inflation

• Registration Number: NCT03086798
• Lead Sponsor: Kaohsiung Medical University Chung-Ho Memorial Hospital

Brief Summary

to investigate the effectiveness of techniques of either using Magill forceps or cuff inflation in facilitation of nasotracheal tube advancement into trachea

Detailed Description

Patients who undergo oxo-maxillofacial surgery need naso-tracheal intubation to present good surgical view-field. but, sometimes, the naso-tracheal tube is unable to advance from nasopharynx, oropharynx, into trachea without assistance. Using techniques of either Magill forceps or cuff inflation is advantageous is not determined.

Study Timeline

• Study First Submitted: 2017-02-01
• Study First Submitted QC: 2017-03-15
• Study First Posted: 2017-03-22
• Study Start: 2017-03-31
• Status Verified: 2018-03
• Primary Completion: 2018-08-31
• Study Completion: 2019-09-30
• Last Update Submitted: 2023-11-05
• Last Update Posted: 2023-11-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

1. patients with American Society of Anesthesiologists physical status I-III
2. aged 20-65 years
3. Requiring Nasotracheal Intubation under general anesthesia
4. unlimited mouth open
5. unlimited neck motion

Exclusion Criteria

1. mouth open < 3 cm
2. Ankylosing arthritis patients.
3. BMI≧35 kg/m2

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Magill forceps	Magill forceps	experimental Magill forceps group: Magill forceps technique to facilitate nasotracheal tube advancement into trachea
cuff inflation	cuff inflation	experimental cuff inflation group: cuff inflation technique to facilitate nasotracheal tube advancement into trachea

Primary Outcome Measures

Name	Time	Method
the technique spending time in this time interval and first attempt successful rate	10 minutes	to measure the time taken of either using Magill forceps or with cuff inflation techniques in successfully intubated patients

Secondary Outcome Measures

Name	Time	Method
glottic injury and cuff damages during tube advanced	half an hour	to assess the bleeding point of glottic area and the cuff injury of endotracheal tube
total intubation time taken	half an hour	measure the whole intubation time taken from tube tip into selected nostril, to nasopharynx, to oropharynx, into trachea, till capnography showing of 3 consecutive CO2 waveforms
postoperative nasal bleeding, sore throat and hoarseness	2 days	Events of intubating related nasal bleeding were measured on selected nostril and oral cavity at 3 minutes post-intubation. Incidences of sore throat and hoarseness are evaluated before patients out of recovery room and the coming morning

Trial Locations

Locations (1)

Kaohsiung Medical University Chung-Ho Memorial Hospital; 🇨🇳 Kaohsiung, Taiwan