to investigate the effectiveness of techniques of either using Magill forceps or cuff inflation in facilitation of nasotracheal tube advancement into trachea
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
200
Magill forceps techniques to facilitate nasotracheal tube advancement into trachea
cuff inflation techniques to facilitate nasotracheal tube advancement into trachea
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Taiwan
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
Time frame: 10 minutes
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
Time frame: half an hour
glottic injury and cuff damages during tube advanced
to assess the bleeding point of glottic area and the cuff injury of endotracheal tube
Time frame: half an hour
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
Time frame: 2 days
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