The Effect of 'Sniffing Position & Nasal Tip Lifting' on the Pathway of Tracheal Tube in Nasal Cavity During Nasotracheal Intubation
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 86
- Locations
- 2
- Primary Endpoint
- Number of patients with nasal endotraheal tube in the lowest nasal pathway.
Study Overview
Brief Summary
The goal of this prospective randomized study is to compare the effect of nasal tip lifting during nasotracheal intubation.
The question the investigators are trying to answer is: If the nasal tip is tilted, will the E-tube be more likely to enter the lower passage during nasal intubation?
Detailed Description
There are three nasal turbinates inside the nasal cavities. Each nasal cavity is divided into four spaces from these nasal turbinates, but the two spaces separated by the upper nasal turbinate are too narrow to be clinically meaningful. So when performing nasotracheal intubation, the tube enters one of the two spaces in low part divided into the lower turbinate. The middle turbinate, unlike others, a large number of blood vessels and nerves are distributed. Therefore, less hemorrhage might occurs when the tracheal tube enters into the lower pathway below the lower turbinate because the tube would not scratching the middle turbinate.
The hypothesis of this study is that the method 'sniffing position and nasal tip lifting' increases possibility to enter into lower pathway when the tube enters the nasal cavity. The purpose of a present study was to investigate the effect of 'sniffing position & nose' on the intranasal route of the tube.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •The patients who need to nasotracheal intubation for surgery.
Exclusion Criteria
- •Who doesn't agree to enroll.
- •Who has severe nasal deformities.
- •Who has a problem to make sniffing position or nasal tip lifting
- •Who has severe nasal bleeding history.
Arms & Interventions
Conventional
Performed nasotracheal intubation as usual. Sniffing position but doesn't lift a nasal tip.
Intervention: Sniffing position (Procedure)
Nasal tip lifting
Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.
Intervention: Sniffing position (Procedure)
Nasal tip lifting
Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.
Intervention: Nasal tip lifting (Procedure)
Outcomes
Primary Outcomes
Number of patients with nasal endotraheal tube in the lowest nasal pathway.
Time Frame: Through study completion, an average of 1 year
After the endotracheal intubation is completed, the experimenter confirms by a fiberoptic bronchoscope which path the endotracheal tube is located.
Secondary Outcomes
- Nasal bleeding(Through study completion, an average of 1 year)
- Intubation time(Through study completion, an average of 1 year)
Investigators
Jung-Man Lee
Clinical Professor
Seoul National University Boramae Hospital