Nasotracheal Intubation Over a Bougie

University of Iowa

Status: Completed

Conditions: Nasal Bleeding; Nasotracheal Intubation

Treatments: Procedure: Conventional Nasotracheal Intubation; Procedure: Nasotracheal intubation over a bougie

Study type: Interventional

Funder types: Other

Identifiers

NCT03003455

201112757

Details and patient eligibility

About

The purpose of this study is to determine whether nasal intubation over a bougie placed via a nasal trumpet will decrease nasal trauma when compared to the conventional technique of blind nasal endotracheal tube passage.

Full description

Conventional nasotracheal intubation techniques (or "Conventional Videolaryngoscopic Techniques," CVT) are known to be associated with significant trauma to the patient's nares and the endotracheal tube itself. The investigators propose an alternative technique (Nasotracheal intubation over a bougie placed via a subsequently removed nasal trumpet, or NIB) which involves using Seldinger technique over a bougie placed via a nasal trumpet which promises to not only be less traumatic to the patient and the endotracheal tube, but also to take less time to perform and have a higher first-attempt success rate than conventional methods. The investigators propose a randomized prospective interventional study comparing this new technique with conventional technique to see if a significant difference exists.

Enrollment: 257 patients

Sex: All

Ages: 8 to 99 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Patients scheduled for elective surgery with an anesthetic plan including asleep nasotracheal intubation

Exclusion criteria

• Patients needing emergent airway protection
• Patients undergoing emergency surgery
• Patients whom are known to be pregnant
• Patients whom are currently anticoagulated (including daily aspirin use)
• Patients whose anesthetic includes the use of nitrous oxide
• Patients whom are currently incarcerated
• Patients 7 years of age or younger
• Mentally incompetent adults
• Patients whom refuse involvement in the study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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257 participants in 2 patient groups

Conventional Nasotracheal Intubation (CVT)

Active Comparator group

Description:

Blind passage of an endotracheal tube via the nare followed by videolaryngoscopy-assisted passage through the glottis, with or without the aid of Magill forceps

Treatment:

Procedure: Conventional Nasotracheal Intubation

Nasotracheal Intubation Over a Bougie (NIB)

Experimental group

Description:

Nasotracheal intubation over a bougie, placed with videolaryngoscopy assistance, via a nasopharyngeal airway with or without the aid of Magill forceps

Treatment:

Procedure: Nasotracheal intubation over a bougie