To determine which nostril is more suitable for nasotracheal intubation with video rigid stylet.
Head and neck surgeries usually require nasal intubation, which allows leeway for operative maneuvering in the mouth, pharynx, larynx, and neck. Previous studies have found that the right nostril is more appropriate for nasal intubation using direct laryngoscope or videolaryngoscope. It has been shown that the optical rigid stylet was also an appropriate tool for nasal intubation. However, nasal intubation with rigid optical stylet is technically different from that with laryngoscope. It is unknown whether the choice of nostril could affect the intubation using rigid optical stylet. The main aim is to determine which nostril is more suitable for nasal intubation with video rigid stylet.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
TRIPLE
Enrollment
50
Nasal intubation was performed using the video rigid stylet.
Peking University Hospital of Stomatology
Beijing, China
Total time for intubation
The duration from when the device tip entered the nostril to when the tube entered the trachea, as confirmed by capnography.
Time frame: Procedure (From when the device tip entered the nostril to when the tube entered the trachea.)
Total success rate
Total success rate of nasal intubation with video rigid stylet.
Time frame: Procedure (Up to the tube entered the trachea.)
First-attempt success
First-attempt success of nasal intubation with video rigid stylet.
Time frame: First-attempt of nasal intubation with video rigid stylet.
Times of intubation-attempts
Times of intubation-attempts.
Time frame: Procedure (From when the device tip entered the nostril to when the tube entered the trachea.)
The time for device insertion
The duration from when the device tip entered the nostril to when it passed through the vocal cord.
Time frame: Procedure (From when the device tip entered the nostril to when it passed through the vocal cord.)
The time for tube insertion
The duration from when the tip of the device passed through the vocal cord to when the tube was confirmed inserted into the trachea.
Time frame: Procedure (From when the tip of the device passed through the vocal cord to when the tube was confirmed inserted into the trachea.)
Incidence and severity of epistaxis
Incidence and severity of epistaxis
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Time frame: Procedure (Up to completion of intubation)