Which Nostril Should be Used for Nasotracheal Intubation With Airtraq NT®: the Right or Left? A Randomized Clinical Trial

Not Applicable

Completed

• Conditions: Nasotracheal Intubation
• Interventions: Device: Airtraq NT

• Registration Number: NCT03226002
• Lead Sponsor: Kocaeli University

Brief Summary

After Ethics committee approval investigators decided to enroll 40 patients ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. We primay aimed to compare the glottis visualization time, intubation time and total intubation times.

Detailed Description

After Ethics committee approval, investigators decided to enroll 40 pateints ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. In addition is the 90° anti-clockwise rotation of the tip of the tube helpful to insert the tube into the trachea. Patients were randomized into right and the left nostril groups. After standard anesthesia induction with propofol and fentanyl, rocuronium was used for muscle relaxation. Primary aim of this prospective study was to compare the glottis visualization time, intubation time and total intubation times. The Cormack-Lehane grades, the need for optimization, tube adjustment maneuvers, hemodynamic data, occurrence of epistaxis of the patients were recorded during the process.

Study Timeline

• Study Start: 2017-04-01
• Study First Submitted: 2017-07-18
• Study First Submitted QC: 2017-07-19
• Study First Posted: 2017-07-21
• Primary Completion: 2017-09-01
• Study Completion: 2017-09-10
• Status Verified: 2018-08
• Last Update Submitted: 2018-08-06
• Last Update Posted: 2018-08-07

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• 18-65 years of age
• undergoing elective maxillofacial surgery
• dental surgery
• plastic surgery requiring nasotracheal intubation
• ASA I-II

Exclusion Criteria

• >18 years and > 65 years
• BMI> 35
• ASA III-IV
• fasted patients
• patients do not require nasotracheal intubation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Airtraq NT right nostril	Airtraq NT	nasotracheal intubation with Airtraq NT through the right nostril
Airtraq NT left nostril	Airtraq NT	nasotracheal intubation with Airtraq NT through the left nostril

Primary Outcome Measures

Name	Time	Method
insertion time of the device	20 seconds	handling the device till the optimal glottis visualization occurred
nasotracheal intubation time with the device	30 seconds	handling the device till the visualization of tracheal tube through the vocal cords
total nasotracheal intubation time with the device	40 seconds	handling the device till the confirmation of nasotracheal intubation with end-tidal carbodioxide

Secondary Outcome Measures

Name	Time	Method
minor complications related to the device	40 seconds	epistaxis, nose pain, bronchospasm
optimisation maneuvers during intubation with the device	20 seconds	need for optimisation maneuvers during nasotracheal intubation

Trial Locations

Locations (1)

Kocaeli University School of Medicine; 🇹🇷 Kocaeli, Turkey