Head Position on Pediatric Nasotracheal Intubation

NCT ID: NCT05164276

Last Updated: 2024-07-25

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

108 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-18

Study Completion Date

2023-09-06

Brief Summary

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

Detailed Description

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Conditions

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Intubation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

SINGLE

Participants

Study Groups

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Sniffing group

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).

Group Type ACTIVE_COMPARATOR

Head position

Intervention Type OTHER

Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.

Neutral group

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).

Group Type EXPERIMENTAL

Head position

Intervention Type OTHER

Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.

Flexed group

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).

Group Type EXPERIMENTAL

Head position

Intervention Type OTHER

Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.

Interventions

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Head position

Before nasotracheal intubation, patient's head is positioned to one of three positions according to assigned group: sniffing, neutral or flexed position.

Intervention Type OTHER

Eligibility Criteria

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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
Minimum Eligible Age

2 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ajou University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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yun jeong chae

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Ajou University School of Medicine

Suwon, Gyeonggi-do, South Korea

Site Status

Countries

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South Korea

Other Identifiers

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AJIRB-MED-INT-21-432

Identifier Type: -

Identifier Source: org_study_id

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