Nasotracheal Intubation Clinical Trial
Official title:
A Randomised, Crossover Comparison of Nasal Ventilation vs Face Mask in Anesthetised Adults
Nasotracheal intubation(NTI) is commonly used in operations of the mouth, pharynx, larynx and
also the neck. While these patients showed higher rates of difficult laryngoscopy. Therefore,
duration of apnoea is prolonged and re-oxygenation is inevitable.Mask ventilation is the most
fundamental technique in maintaining oxygenation, even when endotracheal intubation is
failed. However, the most common complication of NTI is epistaxis, removing the nasotracheal
tube could make mask ventilation extremely difficult.So the investigatorsbelieve the ideal
approach is ventilation through original nasotracheal tube.Several techniques of supraglottic
ventilations through endotracheal tubes have been reported.It remains uncertain whether
supraglottic ventilation through inflated nasal RAE endotracheal tube has similar efficiency
as mask ventilation after general anesthesia induction. Based on previous clinical
experience, the investigators hypothesised that ventilations through inflated nasal RAE
endotracheal tube and through facemask were comparable in terms of tidal volume and airway
pressure in anesthetized, apnoeic adults.
Forty patients were randomly assigned (sealed envelope method) to face mask(Group A,n=20)or
nasal ventilation(Group B,n=20), For A: face mask ventilation followed by nasal ventilation
and for B:nasal ventilation followed by face mask ventilation.Measure the tidal volume and
air leakage of face mask and nasal ventilation during pressure-controlled ventilation mode
and volume-controlled mode, respectively.
n/a
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