Head Position on Pediatric Nasotracheal Intubation

Ajou University School of Medicine

Status: Completed

Conditions: Intubation

Treatments: Other: Head position

Study type: Interventional

Funder types: Other

Identifiers

NCT05164276

AJIRB-MED-INT-21-432

Details and patient eligibility

About

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

Enrollment: 108 patients

Sex: All

Ages: 2 to 8 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

108 participants in 3 patient groups

Sniffing group

Active Comparator group

Description:

Before intubation, the patient's shoulder is supported by a 5cm pillow to make neck flexion with extension of atlanto-occipital joint, confirming that the external auditory meatus and sternal notch plane are horizontal and aligned. Then, nasotracheal intubation is performed with a reinforced tube (Mallinckrodt Medical, Dublin, Ireland) using video-laryngoscope (AceScope, AceMedical, Seoul, Korea).

Treatment:

Other: Head position

Neutral group

Experimental group

Description:

Before intubation, the patient's head is placed without a pillow on the bed. Then, nasotracheal intubation is performed with a reinforced tube (Mallinckrodt Medical, Dublin, Ireland) using video-laryngoscope (AceScope, AceMedical, Seoul, Korea).

Treatment:

Other: Head position

Flexed group

Experimental group

Description:

Before intubation, the patient's neck is flexed with pads until the chin touches the chest. Then, nasotracheal intubation is performed with a reinforced tube (Mallinckrodt Medical, Dublin, Ireland) using video-laryngoscope (AceScope, AceMedical, Seoul, Korea).

Treatment:

Other: Head position