Suction Catheter as a Guide for Nasotracheal Intubation Under General Anesthesia
NCT ID: NCT05717907
Last Updated: 2024-12-20
Study Results
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View full resultsBasic Information
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COMPLETED
NA
52 participants
INTERVENTIONAL
2023-09-05
2024-06-10
Brief Summary
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The main question are
* How effective of the use of a suction catheter guided ETT in reducing bleeding during nasotracheal intubation?
* Does the use of a suction catheter guided ETT can improve its navigability through the nasal passage and reduce nasal passage time?
Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Control group
conventional nasotracheal intubation procedure
No interventions assigned to this group
Guided group
use suction catheter guided endotracheal tube through the nasal passage
suction catheter
a suction catheter will be first inserted through the ETT so that about 10 cm of the catheter was protruding from the distal end of the tube. The tip of the catheter is then inserted through the selected nostril until it passes to the pharynx. If resistance is felt to the passage of catheter, the other nostril will be tried. The nostril with less resistance to the catheter passage will be chosen for the completion of the procedure. The Endotracheal tube is then advance over the catheter through the nasal passage while holding the catheter proximal to the tube to prevent its advancement with the tube. After the tube tip reach to the pharynx, the suction catheter is withdrawn and tracheal intubation will be completed.
Interventions
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suction catheter
a suction catheter will be first inserted through the ETT so that about 10 cm of the catheter was protruding from the distal end of the tube. The tip of the catheter is then inserted through the selected nostril until it passes to the pharynx. If resistance is felt to the passage of catheter, the other nostril will be tried. The nostril with less resistance to the catheter passage will be chosen for the completion of the procedure. The Endotracheal tube is then advance over the catheter through the nasal passage while holding the catheter proximal to the tube to prevent its advancement with the tube. After the tube tip reach to the pharynx, the suction catheter is withdrawn and tracheal intubation will be completed.
Eligibility Criteria
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Inclusion Criteria
* ASA physical status I-II
* Thai adult, aged 18-65 years old
* Normal Body Mass Index (BMI = 18.5-24.9)
Exclusion Criteria
* Nasal infection or systemic infection
* Abnormal coagulation status or having bleeding disorder or taking anticoagulation/antiplatelet medication
* History of recurrent epistaxis since adulthood
* Allergic rhinitis that necessitates the use of glucocorticoids, antihistamine, antileukotriene or decongestant in the past 4 weeks
* History of nasal trauma or abnormality (e.g., trauma in mid-face region, nasal surgery, nasal polyps, chronic sinusitis, abnormal nasal vasculature, tumor in nasal region, radiotherapy in nasal region)
* Craniofacial deformity syndrome
* Using nasal oxygen or Continuous Positive Airway Pressure (CPAP)
* Previous nasotracheal intubation or nasogastric tube placement within 3 months
* Diagnosed as having a mental disorder
Drop-out criteria:
* Unable to complete intubation procedure
* Intubation failed on both nostrils
* When intubation was only possible with a tube smaller than 6.5 internal diameter (ID) in male and 6.0 ID in female
* Inadequate data collection
18 Years
65 Years
ALL
No
Sponsors
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Mahidol University
OTHER
Responsible Party
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Duangdee Rummasak
Assoc. Prof.
Principal Investigators
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Duangdee Rummasak, M.D.
Role: PRINCIPAL_INVESTIGATOR
Mahidol University
Locations
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Faculty of Dentistry
Ratchathewi, Bangkok, Thailand
Countries
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References
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Anwer HM.F., Ibrahim AA. Suction catheter guidance of the endotracheal tube to facilitate nasal intubation: a double blind, randomized clinical trial. MEJA.2018;25 (2):155-63.
Prasanna D, Bhat S. Nasotracheal Intubation: An Overview. J Maxillofac Oral Surg. 2014 Dec;13(4):366-72. doi: 10.1007/s12663-013-0516-5. Epub 2013 May 1.
Jongcharoenkamon I, Juajarn T, Pisilp N. Does suction tube guiding reduce epistaxis from nasotracheal intubation? Mahasarakham Hospital Journal. 2020;17(3):210-7.
Kim YC, Lee SH, Noh GJ, Cho SY, Yeom JH, Shin WJ, Lee DH, Ryu JS, Park YS, Cha KJ, Lee SC. Thermosoftening treatment of the nasotracheal tube before intubation can reduce epistaxis and nasal damage. Anesth Analg. 2000 Sep;91(3):698-701. doi: 10.1097/00000539-200009000-00038.
Piepho T, Thierbach A, Werner C. Nasotracheal intubation: look before you leap. Br J Anaesth. 2005 Jun;94(6):859-60. doi: 10.1093/bja/aei146. Epub 2005 Apr 15.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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2023/DT039
Identifier Type: -
Identifier Source: org_study_id