Endotracheal Intubation Clinical Trial
Official title:
The Use of "O" Shaped- Endotracheal Tube During Intubation for General Anesthesia: Prospective Randomized Trial
This study is prospective randomized trial study. "O" type tracheal intubation tube is anatomically consistent and will able to increase the success rate of first intubation without any other external help.
This study is divided into two groups. : control vs. "O" shape endotracheal tube.
The investigator was studied 238 consecutive the American Society of Anesthesiologists'
physical grades I and II adult patients scheduled to undergo general anesthesia requiring
tracheal intubation for elective surgery. Exclusion criteria included a gross anatomical
abnormality, before surgery of the head, neck and cervical spine, previously difficult
tracheal intubation, loose teeth, or those requiring a rapid sequence or awake intubation,
moderate or severe obstructive/restrictive pulmonary disease accompanied by pulmonary
function tests. Anesthesia was induced with remifentanyl 3ng/kg, propopol 1-2 mg/kg or TIVA
2% fresopol 4ug/dL, remifentanyl 3ng/dL and rocuronium 0.8 mg/kg to facilitate tracheal
intubation. Laryngoscopy was performed after the loss of the fourth twitch in the
train-of-four in response to ulnar nerve stimulation. All laryngoscopies using a #4 Macintosh
blade were performed with the patient placed in the sniffing position. Tracheal intubation
was performed without assistance (ex. External laryngeal manipulation, Used stylet). A single
experienced anesthesiologist, blinded to each group, performed all of the direct
laryngoscopies and classified the laryngoscopic view according to the modified Cormack and
Lehane grade, measured number of attempts, intubation time and blood pressure and heart rate
before/ after intubation.
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