The Effect of Bevel Direction on the Pathway of the Tracheal Tube in the Nasal Cavity During Nasotracheal Intubation: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 68
- 试验地点
- 2
- 主要终点
- incidence of the tube in lower pathway
研究概览
简要总结
In this study, the subjects are divided into two groups (group I: intervention group = the nasotracheal tube inserted with the bevel of the nasal tube facing the direction of the patient's head, and Group II: conventional group = the bevel of the tube toward the left side of the subject). After the endotracheal tube is introduced, a flexible endoscope is used to evaluate whether the tube is located below the inferior turbinate, i.e. in the lower pathway.
详细描述
Primary outcome
- incidence of tracheal tube passing through the lower pathway (beneath the inferior turbinate and immediately above the nasal floor of the nostril) Secondary outcome
- intubation time
- incidence of epistaxis
- severity of bleeding
- Resistance during Insertion of the tracheal 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
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •a patient who will take operation which needs nasotracheal intubation under general anesthesia
排除标准
- •a patient who didn't agree to participate in this study
- •a patient who has a deformity of the nose
- •a patient who has a history of severe epistaxis
- •a patient who has coagulation problem
- •a patient who has a history of the fracture or surgery of the skull base
结局指标
主要结局
incidence of the tube in lower pathway
时间窗: right after completion of the intubation
incidence of tracheal tube passing through the lower pathway (beneath the inferior turbinate and immediately above the nasal floor of the nostril)
次要结局
- intubation time(from the start of the intubation to the completion of the intubation, which is confirmed by the appearance of end-tidal CO2 curve, up to 60 seconds)
- incidence and severity of epistaxis(right after completion of the intubation)
研究者
Tae Kyong Kim
Clinical Assistant Professor
Seoul National University Hospital