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For Nasotracheal Intubation With Video Rigid Stylet, Which Nostril is Better?

P

Peking University

Status

Completed

Conditions

Video Rigid Stylet
Intubation

Treatments

Device: Video rigid stylet

Study type

Interventional

Funder types

Other

Identifiers

NCT05218590
20220108

Details and patient eligibility

About

To determine which nostril is more suitable for nasotracheal intubation with video rigid stylet.

Full description

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.

Enrollment

50 patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  1. Age ≥ 18 years;
  2. American Society of Anesthesiologists physical status I~II;
  3. Scheduled to undergo elective oral and maxillofacial surgery requires nasal intubation;
  4. The expected operation time < 3 hours;
  5. Extubation in operation room and do not scheduled to preventive tracheotomy;
  6. Patients who were able to breathe clearly and equally through both nostrils.

Exclusion criteria

  1. Patients had history of difficult intubation or presented with an anticipated difficult airway;
  2. Patients requiring nasogastric tube insertion;
  3. Presence of contraindications of nasal intubation;
  4. Due to surgical requirement, intubation must be completed through one nostril;
  5. Presence of severe nasal obstruction,deformities of the nasal cavity, or other serious nasal diseases;
  6. History of severe epistaxis or epistaxis within a month;
  7. Previous history of nasal and/or laryngeal surgery;
  8. Previous experience with nasal intubation;
  9. History of schizophrenia, Parkinson's disease or profound dementia, or language barrier;
  10. Participate in other clinical studies;
  11. Refusal to sign informed consent.

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

50 participants in 2 patient groups, including a placebo group

Right nostril group
Active Comparator group
Description:
Nasal intubation with video rigid stylet was performed through the right nostril.
Treatment:
Device: Video rigid stylet
Left nostril group
Placebo Comparator group
Description:
Nasal intubation with video rigid stylet was performed through the left nostril.
Treatment:
Device: Video rigid stylet

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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