Either uses two different endotracheal tubes to pass the nasal cavity and to compare the effects on the secretion and bleeding volume of patients during intubation to facilitate nasotracheal tube advancement.
1. Assess the patient's airway before intubation. EKG, blood pressure and SPO2 are monitored during the process. 2. Randomly divided into two groups:Henan Tuoren Endotracheal Tube and Smiths Portex Tracheal tubes. 3. Sedation process:Give Fentanyl 1 ug/kg according to the patient's weight via IV. 4. Give 1.5ml of Lidocaine without Epinephrine and 0.5ml of Lidocaine with Epinephrine to reduce intranasal bleeding. 5. Sedative injection:give Fentanyl 1ug/kg + Thiamylal 5mg/kg + Rocuronium 1mg/kg 6. Anesthesia intubation inducer:Propofol 1mg/kg 7. Intubation 8. Record the bleeding of the oropharyngeal and nasal mucosa、intubation time、Intubation Difficult Scale (IDS score) and number of intubations during intubation. 9. Record oropharynx、nostril and oropharynx bleeding in 3 minutes after completion of intubation. 10. Evaluate the patient's sore throat, hoarse voice, dysphagia, nasal congestion, nose bleeding, and nasal pain every other day.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
80
The endotracheal tube is used under the direct view of the electronic imaging laryngoscope.
The endotracheal tube is used under the direct view of the electronic imaging laryngoscope.
Kaohsiung Medical University Chung-Ho Memorial Hospital
Kaohsiung City, Sanmin District, Taiwan
RECRUITINGsuccess rate
success rate of tube advancement and successful first tube attempt success rate of tube passing through nasal cavity into trachea
Time frame: 10 minutes
time
time taken in tube advancement time taken in tube advancement from nostril into trachea in each time interval
Time frame: 10 minutes
post-anesthesia care
post-intubation induced hoarseness and sore throat intubation related hoarseness and sorethroat at post-anesthesia care unit and the next coming morning
Time frame: 2 days
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