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After Ethics committee approval investigators decided to enroll 40 patients ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. We primay aimed to compare the glottis visualization time, intubation time and total intubation times.
After Ethics committee approval, investigators decided to enroll 40 pateints ASA I-II, 18-60 years of age undergoing maxillofascial, oral and double chin surgery to determine which nostril is more suitable for nasotracheal intubation with nasotracheal Airtraq. In addition is the 90° anti-clockwise rotation of the tip of the tube helpful to insert the tube into the trachea. Patients were randomized into right and the left nostril groups. After standard anesthesia induction with propofol and fentanyl, rocuronium was used for muscle relaxation. Primary aim of this prospective study was to compare the glottis visualization time, intubation time and total intubation times. The Cormack-Lehane grades, the need for optimization, tube adjustment maneuvers, hemodynamic data, occurrence of epistaxis of the patients were recorded during the process.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Airtraq NT right nostril | Active Comparator | nasotracheal intubation with Airtraq NT through the right nostril |
|
| Airtraq NT left nostril | Active Comparator | nasotracheal intubation with Airtraq NT through the left nostril |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Airtraq NT | Device | channeled video laryngoscope for nasotracheal intubation |
|
| Measure | Description | Time Frame |
|---|---|---|
| insertion time of the device | handling the device till the optimal glottis visualization occurred | 20 seconds |
| nasotracheal intubation time with the device | handling the device till the visualization of tracheal tube through the vocal cords | 30 seconds |
| total nasotracheal intubation time with the device | handling the device till the confirmation of nasotracheal intubation with end-tidal carbodioxide | 40 seconds |
| Measure | Description | Time Frame |
|---|---|---|
| optimisation maneuvers during intubation with the device | need for optimisation maneuvers during nasotracheal intubation | 20 seconds |
| minor complications related to the device | epistaxis, nose pain, bronchospasm |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| zehra I Arslan | Anesthesiology and Reanimation | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Kocaeli University School of Medicine | Kocaeli | 41900 | Turkey (Türkiye) |
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| 40 seconds |