Modified nasopharyngeal airway guidance facilitates nasal fiberoptic intubation: a randomized clinical study
Phase 2
- Conditions
- Procedural time and success rate for nasal fiberoptic intubation in a patient aged 18-65 classified by American Society of Anesthesiologists (ASA) physical status 1-3 is scheduled for elective surgery under general anesthesia in Ramathibodi hospitalAirway management, fiberoptic intubation, flexible scope intubation, Flexible bronchoscope, Fiberoptic bronchoscope, nasal intubation, modified nasopharyngeal airway, nasal airway
Recruitment & Eligibility
- Status
- Pending (Not yet recruiting)
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
A patient who has age 18-65 years with ASA 1-3 is scheduled elective surgery under general anesthesia
Exclusion Criteria
Refuse to participate, predicted difficult intubation coagulopathy (platelet < 100000 or INR>1.5) or use antiplatelet or anticoagulant, nasal passage obstruction such as nasal polyp or nasopharyngeal mass, poor cardiopulmonary reserve, coronary artery disease, reactive airway disease
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Intubation time start counting from inserting FOB/modified nasopharyngeal airway until removing the flexible bronchoscope from the nare. Remove the flexible bronchoscope from the nare The timing was reviewed by video recording
- Secondary Outcome Measures
Name Time Method Rates of failed attempt After end of the intervention Oxygen saturation, intubation time, completely withdrawn bronchoscope from nares,Rates of failed intubation After end of the intervention Unsuccessful intubation within 3 attempts, Required intubation by attending anesthesiologist,Nasal bleeding Within 24 hours after end of the intervention The degree of visibility,Airway maneuver After end of the intervention Airway maneuver to obtain adequate laryngeal view