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Video-stylet for Nasotracheal Intubation in Limited Mouth Opening Patient

Not Applicable
Conditions
Anesthesia Intubation Complication
Interventions
Device: fiberoptic bronchoscope
Device: video-stylet
Registration Number
NCT01917435
Lead Sponsor
Kaohsiung Medical University Chung-Ho Memorial Hospital
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
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. limited mouth open ,mouth open < 3 cm
  5. unlimited neck motion
Exclusion Criteria
  1. Ankylosing arthritis patients.
  2. BMI≧35 kg/m2

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
fiberoptic bronchoscopefiberoptic bronchoscopeExperimental: fiberoptic bronchoscope fiberoptic bronchoscope is used to facilitate for nasotracheal intubation.
video-styletvideo-styletExperimental: video-stylet video-stylet is used to facilitate for nasotracheal intubation.
Primary Outcome Measures
NameTimeMethod
number of the patients with successful nasotracheal intubation and scoring modified intubation difficulty scalehalf 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
NameTimeMethod
time to intubatehalf 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

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