Which Nostril Should be Used for Nasotracheal Intubation With Airtraq NT®: the Right or Left? A Randomized Clinical Trial

NCT03226002 — Not applicable, Completed, 35 participants, Kocaeli University

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Registry	NCT03226002
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, diagnostic
Enrollment	35 (Actual)
Sponsor	Kocaeli University (Other)
Conditions	Nasotracheal Intubation
Interventions	Airtraq NT (Device)
Dates	start 2017-04-01, primary completion 2017-09-01, completion 2017-09-10, first posted 2017-07-21, last updated 2018-08-07
Locations	1 site in Turkey (Türkiye)

-Summary

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.

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+Detailed description

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.

+Arms and interventions

Arm	Type	Interventions	Description
Airtraq NT right nostril	Active comparator	Device: Airtraq NT	nasotracheal intubation with Airtraq NT through the right nostril
Airtraq NT left nostril	Active comparator	Device: Airtraq NT	nasotracheal intubation with Airtraq NT through the left nostril

Airtraq NT (Device): channeled video laryngoscope for nasotracheal intubation

+Outcome measures

Primary outcomes

insertion time of the device [20 seconds]: handling the device till the optimal glottis visualization occurred
nasotracheal intubation time with the device [30 seconds]: handling the device till the visualization of tracheal tube through the vocal cords
total nasotracheal intubation time with the device [40 seconds]: handling the device till the confirmation of nasotracheal intubation with end-tidal carbodioxide

Secondary outcomes

optimisation maneuvers during intubation with the device [20 seconds]: need for optimisation maneuvers during nasotracheal intubation
minor complications related to the device [40 seconds]: epistaxis, nose pain, bronchospasm

+Eligibility

Sex: All, ages: 18 Years to 65 Years

Inclusion Criteria:

* 18-65 years of age
* undergoing elective maxillofacial surgery
* dental surgery
* plastic surgery requiring nasotracheal intubation
* ASA I-II

Exclusion Criteria:

* >18 years and > 65 years
* BMI> 35
* ASA III-IV
* fasted patients
* patients do not require nasotracheal intubation

+Locations (1)

Facility	City	Country	Status
Kocaeli University School of Medicine	Kocaeli	Turkey (Türkiye)

+Investigators

zehra I Arslan, Principal investigator, Anesthesiology and Reanimation