Intubation Complication Clinical Trial
Official title:
The Effect of 'Sniffing Position & Nasal Tip Lifting' on the Pathway of Tracheal Tube in Nasal Cavity During Nasotracheal Intubation
The goal of this prospective randomized study is to compare the effect of nasal tip lifting
during nasotracheal intubation.
The question the investigators are trying to answer is: If the nasal tip is tilted, will the
E-tube be more likely to enter the lower passage during nasal intubation?
There are three nasal turbinates inside the nasal cavities. Each nasal cavity is divided into
four spaces from these nasal turbinates, but the two spaces separated by the upper nasal
turbinate are too narrow to be clinically meaningful. So when performing nasotracheal
intubation, the tube enters one of the two spaces in low part divided into the lower
turbinate. The middle turbinate, unlike others, a large number of blood vessels and nerves
are distributed. Therefore, less hemorrhage might occurs when the tracheal tube enters into
the lower pathway below the lower turbinate because the tube would not scratching the middle
turbinate.
The hypothesis of this study is that the method 'sniffing position and nasal tip lifting'
increases possibility to enter into lower pathway when the tube enters the nasal cavity. The
purpose of a present study was to investigate the effect of 'sniffing position & nose' on the
intranasal route of the tube.
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