Effect of Head Tilting During Nasotracheal Intubation

Not Applicable

Completed

• Conditions: Intubation;Difficult
• Interventions: Procedure: Neutral; Procedure: Head tilting

• Registration Number: NCT03377114
• Lead Sponsor: Seoul National University Hospital

Brief Summary

The goal of this prospective randomized controlled study is to investigate the effect of head tilting on tracheal tube passing during nasotracheal intubation.

The question which the investigators are trying to answer is: If patient's neck is extented on inserting tracheal tube via nostril, will the E-tube be more easily to pass through nasopharynx to oropharynx without trapping?

Detailed Description

For nasotracheal intubation, clinicians do sometimes experience tube trapping at naso/oro-pharyngeal tissue. Application of force to overcome resistance can cause tissue injury leading to bleeding, which can disturb tracheal intubation.

The hypothesis of this study is that the method of 'head tilting' can help easy passing of tracheal tube at naso/oro-pharyngeal pathway without trapping in nasotracheal intubation. The purpose of the present study is to investigate the effect of 'head tilting' on the incidence of trapping of tracheal tube at naso/oro-pharynx when tracheal tube is being advanced into oropharynx via nostril during nasotracheal intubation.

Study Timeline

• Study First Submitted: 2017-12-13
• Study First Submitted QC: 2017-12-13
• Study Start: 2017-12-14
• Study First Posted: 2017-12-19
• Primary Completion: 2018-06-29
• Study Completion: 2018-07-13
• Status Verified: 2018-09
• Last Update Submitted: 2018-09-14
• Last Update Posted: 2018-09-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• The patients who need to nasotracheal intubation for surgery.

Exclusion Criteria

• Who doesn't agree to enroll
• Who has a problem to head tilting position such as C-spine injury.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Neutral	Neutral	When inserting a tracheal tube to oral cavity via nostril before use of laryngoscope in nasotracheal intubation, clinicians advance the tube with patient' head and neck in neutral position.
Head tilting	Head tilting	When inserting a tracheal tube to oral cavity via nostril before use of laryngoscope in nasotracheal intubation, clinicians advance the tube with patient' head in head-tilting position.

Primary Outcome Measures

Name	Time	Method
Tube trapping	During nasotracheal intubation	When inserting a tracheal tube to oral cavity via nostril before use of laryngoscope in nasotracheal intubation, clinicians feel resistance in advancement.

Trial Locations

Locations (1)

Seoul National University Boramae Hospital; 🇰🇷 Seoul, Korea, Republic of