The Effect of 'Sniffing Position & Nasal Tip Lifting' on the Pathway of Tracheal Tube in Nasal Cavity During Nasotracheal Intubation
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 86
- 试验地点
- 1
- 主要终点
- Number of patients with nasal endotraheal tube in the lowest nasal pathway.
研究概览
简要总结
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?
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patients who need to nasotracheal intubation for surgery.
排除标准
- •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.
研究组 & 干预措施
Conventional
Performed nasotracheal intubation as usual. Sniffing position but doesn't lift a nasal tip.
干预措施: Sniffing position (Procedure)
Nasal tip lifting
Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.
干预措施: Sniffing position (Procedure)
Nasal tip lifting
Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.
干预措施: Nasal tip lifting (Procedure)
结局指标
主要结局
Number of patients with nasal endotraheal tube in the lowest nasal pathway.
时间窗: 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.
次要结局
- Nasal bleeding(Through study completion, an average of 1 year)
- Intubation time(Through study completion, an average of 1 year)
研究者
Jung-Man Lee
Clinical Professor
Seoul National University Boramae Hospital