Head Position on Pediatric Nasotracheal Intubation

Ajou University School of Medicine108 enrolled

Overview

The aim of study is to evaluate whether the head position facilitates pediatric nasotracheal intubation when using a video-laryngoscope.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

108

Conditions

Intubation

Interventions

Head positionOTHER

Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.

Eligibility

Sex: ALLMin age: 2 YearsMax age: 8 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age 2-8 years old * Amerian Society of Anesthesiologists I or II * Patients who need nasotracheal intubation for surgery Exclusion Criteria: * A recent airway infection within 14 days * Anatomical deformity in head and neck * Modified Mallampati score IV * Bleeding tendency in preoperative laboratory examination

Locations (1)

Ajou University School of Medicine

Suwon, Gyeonggi-do, South Korea

Outcomes

Primary Outcomes

Intubation time

The time between entry of the nasotracheal tube into a nostril and appearance of a carbon dioxide wave on the monitor.

Time frame: Within 5 minutes

Secondary Outcomes

Intubation difficulty scale

The sum of score from seven variables including intubation attempts, supplementary operators, the use of alternative techniques, glottic exposure, the lifting force applied during laryngoscopy, the necessity of applied external laryngeal pressure, and position of vocal cords. From 0 (easiest) to 8 (most difficult)

Time frame: During intubation

Epistaxis score

grade 1 (no-epistaxis), grade 2 (mild, blood on the tube only), grade 3 (moderate, blood pooling in the pharynx), or grade 4 (severe: blood impedes intubation)

Time frame: When removing the video-laryngoscope

Numeric rating scale of intubation difficulty

Subjective intubation difficulty from 0 (easiest) to 10 (most difficult)

Time frame: During intubation

Data from ClinicalTrials.gov

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