Nasotracheal Intubation Over a Bougie Placed Via a Subsequently Removed Nasal Trumpet
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 257
- 试验地点
- 2
- 主要终点
- Nasal trauma
研究概览
简要总结
The purpose of this study is to determine whether nasal intubation over a bougie placed via a nasal trumpet will decrease nasal trauma when compared to the conventional technique of blind nasal endotracheal tube passage.
详细描述
Conventional nasotracheal intubation techniques (or "Conventional Videolaryngoscopic Techniques," CVT) are known to be associated with significant trauma to the patient's nares and the endotracheal tube itself. The investigators propose an alternative technique (Nasotracheal intubation over a bougie placed via a subsequently removed nasal trumpet, or NIB) which involves using Seldinger technique over a bougie placed via a nasal trumpet which promises to not only be less traumatic to the patient and the endotracheal tube, but also to take less time to perform and have a higher first-attempt success rate than conventional methods. The investigators propose a randomized prospective interventional study comparing this new technique with conventional technique to see if a significant difference exists.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 8 Years 至 99 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients scheduled for elective surgery with an anesthetic plan including asleep nasotracheal intubation
排除标准
- •Patients needing emergent airway protection
- •Patients undergoing emergency surgery
- •Patients whom are known to be pregnant
- •Patients whom are currently anticoagulated (including daily aspirin use)
- •Patients whose anesthetic includes the use of nitrous oxide
- •Patients whom are currently incarcerated
- •Patients 7 years of age or younger
- •Mentally incompetent adults
- •Patients whom refuse involvement in the study
结局指标
主要结局
Nasal trauma
时间窗: 60-90 seconds post-intubation
Bleeding noted on nasopharyngeal exam by surgical resident
次要结局
- Nasal trauma(5 minutes post-intubation)
- Time to intubation(Measured immediately post-intubation)
- First attempt success rate(Measured immediately post-intubation)
- Need for Magill forceps(Measured Immediately post-intubation)
研究者
Abrons, Ron O
Assistant Professor of Anesthesiology
University of Iowa