Video-stylet for Nasotracheal Intubation in Limited Mouth Opening Patient
- Conditions
- Anesthesia Intubation Complication
- Interventions
- Device: fiberoptic bronchoscopeDevice: video-stylet
- Registration Number
- NCT01917435
- Brief Summary
The aim of the study is to investigate the efficiency of the Video-stylet (Trachway ®) and the fiberoptic bronchoscopy in facilitation of nasotracheal intubation in limited mouth opening patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 80
- patients with American Society of Anesthesiologists physical status I-III
- aged 20-65 years
- Requiring Nasotracheal Intubation under general anesthesia
- limited mouth open ,mouth open < 3 cm
- unlimited neck motion
- Ankylosing arthritis patients.
- BMI≧35 kg/m2
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description fiberoptic bronchoscope fiberoptic bronchoscope Experimental: fiberoptic bronchoscope fiberoptic bronchoscope is used to facilitate for nasotracheal intubation. video-stylet video-stylet Experimental: video-stylet video-stylet is used to facilitate for nasotracheal intubation.
- Primary Outcome Measures
Name Time Method number of the patients with successful nasotracheal intubation and scoring modified intubation difficulty scale half an hour Nasotracheal intubation is assisted by a video-stylet may be performed in patients undergoing Limited Mouth Opening following induction of anesthesia (fentanyl 2 micro-gram/kg, thiamylal 5 mg/kg) and is facilitated by cis-atracurium 0.2 mg/kg administration. propofol 1 mg/kg intravenously to blunt hemodynamic responses while intubation.
a modified intubation difficulty scale to evaluate the difficulty of fiber-scope guided or trachway assisted nasotracheal intubation
- Secondary Outcome Measures
Name Time Method time to intubate half an hour time of Intubating the nasotracheal tube (NT) from selected nostril to trachea is continuously calculated but separately into two parts. part one: from leaving off mask ventilation (mask removal from face), to the NT tip on the nasopharynx. part two: advancing NT from nasopharynx, through vocal cord into trachea, to present of 3 end tidal carbon dioxide waveforms.
Trial Locations
- Locations (1)
Kaohsiung Medical University Chung-Ho Memorial Hospital
🇨🇳Kaohsiung, Taiwan