Effect of Head Tilting During Nasotracheal Intubation

Seoul National University

Status: Completed

Conditions: Intubation;Difficult

Treatments: Procedure: Head tilting; Procedure: Neutral

Study type: Interventional

Funder types: Other

Identifiers

NCT03377114

16-2017-64

Details and patient eligibility

About

The goal of this prospective randomized controlled study is to investigate the effect of head tilting on tracheal tube passing during nasotracheal intubation.

The question which the investigators are trying to answer is: If patient's neck is extented on inserting tracheal tube via nostril, will the E-tube be more easily to pass through nasopharynx to oropharynx without trapping?

Full description

For nasotracheal intubation, clinicians do sometimes experience tube trapping at naso/oro-pharyngeal tissue. Application of force to overcome resistance can cause tissue injury leading to bleeding, which can disturb tracheal intubation.

The hypothesis of this study is that the method of 'head tilting' can help easy passing of tracheal tube at naso/oro-pharyngeal pathway without trapping in nasotracheal intubation. The purpose of the present study is to investigate the effect of 'head tilting' on the incidence of trapping of tracheal tube at naso/oro-pharynx when tracheal tube is being advanced into oropharynx via nostril during nasotracheal intubation.

Enrollment: 66 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The patients who need to nasotracheal intubation for surgery.

Exclusion criteria

• Who doesn't agree to enroll
• Who has a problem to head tilting position such as C-spine injury.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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66 participants in 2 patient groups

Neutral

Active Comparator group

Description:

When inserting a tracheal tube to oral cavity via nostril before use of laryngoscope in nasotracheal intubation, clinicians advance the tube with patient' head and neck in neutral position.

Treatment:

Procedure: Neutral

Head tilting

Experimental group

Description:

When inserting a tracheal tube to oral cavity via nostril before use of laryngoscope in nasotracheal intubation, clinicians advance the tube with patient' head in head-tilting position.

Treatment:

Procedure: Head tilting