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The purpose of this study is to investigate whether degree of neck flexion affect on laryngeal view and discomfort during endotracheal intubation in adult patients.
The neck flexion using a 8 to 10 cm head elevation has been suggested to align laryngeal, pharyngeal and oral axes and facilitate endotracheal intubation by direct laryngoscopy. There have been scarce clinical studies about the appropriate degree of neck flexion for endotracheal intubation. In the present study, the laryngeal view and physician's discomfort during endotracheal intubation were evaluated according to the two degrees of neck flexion(4 cm vs 8 cm) using a 4 or 8 cm height of pillows, respectively, in adult patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Degree of neck flextion | Experimental | Two degrees of neck flexion were achieved using a 4 cm or 8 cm height of pillow |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neck flexion | Other | Patient's neck was flexed using a 4 cm or 8 cm height of pillow |
|
| Measure | Description | Time Frame |
|---|---|---|
| Laryngeal view as index of ease of insertion | Cormack Lehane grade during endotracheal intubation | one year |
| Measure | Description | Time Frame |
|---|---|---|
| Discomfort of anesthesiologist during endotracheal intubation | Anesthesiologist can feel difficulties in mouth opening and in insertion of laryngoscopic blade into oral cavity according to the degrees of neck flexion | one year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mija Yun, staff | National medical center | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Medical Center | Seoul | Junggu | South Korea |
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