The purpose of this study is to determine whether nasal tracheal intubation using Blind Intubation Device is safe and effective in anesthetized patients with Mallampati class 3
The Blind Intubation Device (BID,Anhui Xiao Shan Hygienic Material Co.Ltd,Jixi County,China) is newly introduced for awake nasal intubation using a transillumination principle. For oral and maxillofacial surgery patients with anticipated difficult airways, the BID has a high rate of successful awake nasal intubation.Since the BID is more readily accessible,disposable and considerably less expensive,these advantages speak well for its use in China.However,to date,there is no study on its usage in anesthetized patients.The investigators hypothesized that a BID would be effective for nasal intubation in anesthetized patients with high Mallampati class and would result in fewer hemodynamic responses. To examine our hypothesis, the investigators would like to perform a prospective,randomized,controlled study to compare the effectiveness of the BID technique with a direct laryngoscope for nasal intubation in anesthetized patients with Mallampati class 3. The primary outcome measures are the hemodynamic changes during intubation. The investigators also would like to compare the intubation time required and associated airway complications in both groups as our second outcome.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
50
nasal intubation with macintosh laryngoscope after general anesthesia induction
nasal intubation using Blind Intubation Device after general anesthesia induction
Department of Anesthesiology, Shanghai 9th People's Hospital
Shanghai, Shanghai Municipality, China
Hemodynamic changes
Time frame: 1 min before general anesthesia induction
Hemodynamic changes
Time frame: 5 min after general anesthesia induction
Hemodynamic changes
Time frame: 30s from nasal intubation start
Hemodynamic changes
Time frame: 1 min after nasal intubation
Hemodynamic changes
Time frame: 2 min after nasal intubation
Hemodynamic changes
Time frame: 3 min after nasal intubation
hemodynamic changes
Time frame: 4 min from nasal intubation start
hemodynamic changes
Time frame: 5 min from nasal intubation start
intubation time required
from taking of the intubation device to successful intubation
Time frame: 0 min after nasal intubation
immediate associated airway complications
mucosal injury,dental injury,airway injury,bleeding, etc
Time frame: 5 min after nasal intubation
24h associated airway complications
sore throat, hoarseness, etc
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 24h after intubation