Kaohsiung Medical University Chung-Ho Memorial Hospital
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- assessment nasal cavity and nasopharyngeal tissues damages
研究概览
简要总结
To investigate the double curve endotracheal tube safely navigate through nasal cavity under guidance of a video-stylet.
详细描述
we enrolled consecutive patients undergoing oxo-maxillofacial surgery by using video-stylet to establish airway and realize the tube angle changes while advancement, however, patients who did not inform or refuse to enroll into the study still use the video-stylet establish airway. the technique to use videostylet-tube assembly to establish airway is a commonly clinical practice in our hospital.
In general, the endotracheal tube goes through nasal cavity blindly either assist with traditional laryngoscope or video-laryngoscope. Tube advances through selected nasal cavity by using a video-stylet is able to prevent from damages of the abnormal turbinates and tissue mucosa. In addition, we are able to record the stylet angle into nostril, shift axis angle in nasal cavity to prevent orifice and side hole from damaging tissues while tube-stylet assembly advancement, and the angle ranges from initiate intubation to tube advanced into trachea.
the selected nostril is determined by Otolaryngologist who is not aware of the study.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients undergo regular operation of oro-maxillofacial surgery
排除标准
- •easily nasal bleeding, mouth limited (opening mouth < 3cm), hypertension, diabetes, chronic sinusitis with operative history, patients unwilling to be included.
结局指标
主要结局
assessment nasal cavity and nasopharyngeal tissues damages
时间窗: 5-10 minutes
using video-stylet to safely navigate through selected nasal cavity and advancement into trachea
次要结局
- video-stylet forward trend and angle changes during intubation(5-10 minutes)
- postoperative nasal damages(24 hours)