The Effect of 'Sniffing Position & Nasal Tip Lifting' in Nasotracheal Intubation
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|ClinicalTrials.gov Identifier: NCT03102255|
Recruitment Status : Completed
First Posted : April 5, 2017
Last Update Posted : October 13, 2017
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?
|Condition or disease||Intervention/treatment|
|Intubation Complication||Procedure: Sniffing position Procedure: Nasal tip lifting|
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.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||86 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||The Effect of 'Sniffing Position & Nasal Tip Lifting' on the Pathway of Tracheal Tube in Nasal Cavity During Nasotracheal Intubation|
|Actual Study Start Date :||August 1, 2016|
|Primary Completion Date :||June 5, 2017|
|Study Completion Date :||July 21, 2017|
Active Comparator: Conventional
Performed nasotracheal intubation as usual. Sniffing position but doesn't lift a nasal tip.
Procedure: Sniffing position
All procedure is done under sniffing position.
Experimental: Nasal tip lifting
Performed sniffing position and nasal tip lifting while the endotracheal tube insert patient's nasal cavity.
Procedure: Sniffing position
All procedure is done under sniffing position.Procedure: Nasal tip lifting
Before inserting the endotracheal tube to patient's nose, the researcher lift up the nose tip.
- Number of patients with nasal endotraheal tube in the lowest nasal pathway. [ Time Frame: Through study completion, an average of 1 year ]After the endotracheal intubation is completed, the experimenter confirms by a fiberoptic bronchoscope which path the endotracheal tube is located.
- Nasal bleeding [ Time Frame: Through study completion, an average of 1 year ]After nasotracheal intubation, the researcher confirm there is nasal bleeding or not. And if bleeding observed, the experimenter would check the amount.
- Intubation time [ Time Frame: Through study completion, an average of 1 year ]Check the time from initiation of insertion of E-tube to finish passing nasal path and to finish intubation.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03102255
|Korea, Republic of|
|Seoul National University Boramae Hospital|
|Seoul, Korea, Republic of, 07061|
|Study Director:||Jung-Man Lee, M.D.,PhD||Seoul National University Boramae Hospital|