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The Effect of 'Sniffing Position & Nasal Tip Lifting' in Nasotracheal Intubation

NCT ID: NCT03102255

Last Updated: 2017-10-13

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

86 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-08-01

Study Completion Date

2017-07-21

Brief Summary

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The goal of this prospective randomized study is to compare the effect of nasal tip lifting during nasotracheal intubation.

The question the investigators are trying to answer is: If the nasal tip is tilted, will the E-tube be more likely to enter the lower passage during nasal intubation?

Detailed Description

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There are three nasal turbinates inside the nasal cavities. Each nasal cavity is divided into four spaces from these nasal turbinates, but the two spaces separated by the upper nasal turbinate are too narrow to be clinically meaningful. So when performing nasotracheal intubation, the tube enters one of the two spaces in low part divided into the lower turbinate. The middle turbinate, unlike others, a large number of blood vessels and nerves are distributed. Therefore, less hemorrhage might occurs when the tracheal tube enters into the lower pathway below the lower turbinate because the tube would not scratching the middle turbinate.

The hypothesis of this study is that the method 'sniffing position and nasal tip lifting' increases possibility to enter into lower pathway when the tube enters the nasal cavity. The purpose of a present study was to investigate the effect of 'sniffing position \& nose' on the intranasal route of the tube.

Conditions

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Intubation Complication

Keywords

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Nasotracheal intubation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Conventional

Performed nasotracheal intubation as usual. Sniffing position but doesn't lift a nasal tip.

Group Type ACTIVE_COMPARATOR

Sniffing position

Intervention Type PROCEDURE

All procedure is done under sniffing position.

Nasal tip lifting

Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.

Group Type EXPERIMENTAL

Sniffing position

Intervention Type PROCEDURE

All procedure is done under sniffing position.

Nasal tip lifting

Intervention Type PROCEDURE

Before inserting the endotracheal tube to patient's nose, the researcher lift up the nose tip.

Interventions

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Sniffing position

All procedure is done under sniffing position.

Intervention Type PROCEDURE

Nasal tip lifting

Before inserting the endotracheal tube to patient's nose, the researcher lift up the nose tip.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* The patients who need to nasotracheal intubation for surgery.

Exclusion Criteria

* Who doesn't agree to enroll.
* Who has severe nasal deformities.
* Who has a problem to make sniffing position or nasal tip lifting
* Who has severe nasal bleeding history.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jung-Man Lee

Clinical Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jung-Man Lee, M.D.,PhD

Role: STUDY_DIRECTOR

Seoul National University Boramae Hospital

Locations

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Seoul National University Boramae Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Ahmed-Nusrath A, Tong JL, Smith JE. Pathways through the nose for nasal intubation: a comparison of three endotracheal tubes. Br J Anaesth. 2008 Feb;100(2):269-74. doi: 10.1093/bja/aem350. Epub 2007 Dec 14.

Reference Type BACKGROUND
PMID: 18083994 (View on PubMed)

Patiar S, Ho EC, Herdman RC. Partial middle turbinectomy by nasotracheal intubation. Ear Nose Throat J. 2006 Jun;85(6):380, 382-3.

Reference Type BACKGROUND
PMID: 16866113 (View on PubMed)

Williams AR, Burt N, Warren T. Accidental middle turbinectomy: a complication of nasal intubation. Anesthesiology. 1999 Jun;90(6):1782-4. doi: 10.1097/00000542-199906000-00039. No abstract available.

Reference Type BACKGROUND
PMID: 10360881 (View on PubMed)

Dost P, Armbruster W. Nasal turbinate dislocation caused by nasotracheal intubation. Acta Anaesthesiol Scand. 1997 Jun;41(6):795-6. doi: 10.1111/j.1399-6576.1997.tb04787.x.

Reference Type BACKGROUND
PMID: 9241346 (View on PubMed)

Scamman FL, Babin RW. An unusual complication of nasotracheal intubation. Anesthesiology. 1983 Oct;59(4):352-3. doi: 10.1097/00000542-198310000-00016. No abstract available.

Reference Type BACKGROUND
PMID: 6614546 (View on PubMed)

Kim H, Lee JM, Lee J, Hwang JY, Chang JE, No HJ, Won D, Choi S, Min SW. Influence of Nasal Tip Lifting on the Incidence of the Tracheal Tube Pathway Passing Through the Nostril During Nasotracheal Intubation: A Randomized Controlled Trial. Anesth Analg. 2018 Dec;127(6):1421-1426. doi: 10.1213/ANE.0000000000003673.

Reference Type DERIVED
PMID: 30044295 (View on PubMed)

Other Identifiers

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20160707/26-2016-90/072

Identifier Type: -

Identifier Source: org_study_id