Comparison of Different Tools to Facilitate Nasotracheal Tube Placement Under Video-laryngoscope Use

Nasotracheal Intubation Clinical Trial

Official title:

Comparison Techniques of Magill Forceps and Cuff Inflation to Facilitate Nasotracheal Tube Placement Under Video-laryngoscope Use

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03086798
• Other study ID #: KMUHIRB-F(II)-20150058
• Status: Completed
• Phase: N/A
• Start date: March 31, 2017
• Est. completion date: September 30, 2019

Study information

• Verified date: March 2018
• Source: Kaohsiung Medical University Chung-Ho Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

to investigate the effectiveness of techniques of either using Magill forceps or cuff inflation in facilitation of nasotracheal tube advancement into trachea

Description:

Patients who undergo oxo-maxillofacial surgery need naso-tracheal intubation to present good surgical view-field. but, sometimes, the naso-tracheal tube is unable to advance from nasopharynx, oropharynx, into trachea without assistance. Using techniques of either Magill forceps or cuff inflation is advantageous is not determined.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 200
• Est. completion date: September 30, 2019
• Est. primary completion date: August 31, 2018
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 20 Years to 65 Years

Eligibility

Inclusion Criteria:

1. patients with American Society of Anesthesiologists physical status I-III

2. aged 20-65 years

3. Requiring Nasotracheal Intubation under general anesthesia

4. unlimited mouth open

5. unlimited neck motion

Exclusion Criteria:

1. mouth open < 3 cm

2. Ankylosing arthritis patients.

3. BMI?35 kg/m2

Related Conditions & MeSH terms

• Nasotracheal Intubation

Intervention

Procedure:
• Magill forceps
Magill forceps techniques to facilitate nasotracheal tube advancement into trachea
• cuff inflation
cuff inflation techniques to facilitate nasotracheal tube advancement into trachea

Locations

Country	Name	City	State
Taiwan	Kaohsiung Medical University Chung-Ho Memorial Hospital	Kaohsiung

Sponsors (1)

Lead Sponsor	Collaborator
Kaohsiung Medical University Chung-Ho Memorial Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	the technique spending time in this time interval and first attempt successful rate	to measure the time taken of either using Magill forceps or with cuff inflation techniques in successfully intubated patients	10 minutes
Secondary	total intubation time taken	measure the whole intubation time taken from tube tip into selected nostril, to nasopharynx, to oropharynx, into trachea, till capnography showing of 3 consecutive CO2 waveforms	half an hour
Secondary	glottic injury and cuff damages during tube advanced	to assess the bleeding point of glottic area and the cuff injury of endotracheal tube	half an hour
Secondary	postoperative nasal bleeding, sore throat and hoarseness	Events of intubating related nasal bleeding were measured on selected nostril and oral cavity at 3 minutes post-intubation. Incidences of sore throat and hoarseness are evaluated before patients out of recovery room and the coming morning	2 days