- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05534451
Comparison Among Three Different Video Scope Guided Nasotracheal Intubation. (NTI)
August 16, 2023 updated by: Zhilin Wu, Wuhan Union Hospital, China
Comparison Among Three Different Video Scope Guided Nasotracheal Intubation: a Prospective, Non-randomised Controlled Trial
Nasotracheal intubation (NTI) has become the most optimal alternative to oral endotracheal intubation for oro-maxillofacial surgery because it can offer an excellent vision field of the mouth.
Additional benefits include milder oropharynx stimulation, less airway secretions, and better tolerance for long term endotracheal intubation maintenance.
Traditional NTI is performed under the guidance of indirect laryngoscope, which is often accompanied by longer maneuver time and adverse complications such as trauma and bleeding.
The development of various visualization tools such as video laryngoscope, video fiberoptic scope and video rigid laryngoscope has greatly improved NTI.
However, there is no consensus on which one is the best adjunctive device for NTI.
Therefore, a study on a comparison of the clinical efficacy of the above three video scope guided methods for NTI will be conducted.
Study Overview
Status
Not yet recruiting
Conditions
Detailed Description
A total of 60 eligible patients will be enrolled in this prospective study, they are scheduled to undergo elective oro-maxillofacial surgeries under general anaesthesia with nasotracheal intubation in the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology.
According to the kinds of video methods uesd to assist in nasotracheal intubation, patients will be randomly divided into video laryngoscope group, video fiberoptic scope group and video rigid laryngoscope group, 20 participants in each group.
The data of the duration of catheter reaching oropharynx (T1), the duration of catheter reaching glottis (T2), successful intubation time (T3), the first-attempt intubation success rate, the total number of intubations for each participant, whether there is oral and nasal mucosa bleeding, whether the tracheal ring is pressed, whether the catheter is rotated, the heraodynamic changes, and the occurrence of throat complications within 2 hours after surgery, will be recorded respectively.
Study Type
Interventional
Enrollment (Estimated)
60
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Zhilin Wu, MD, PhD.
- Phone Number: 18963946992
- Email: 840916@qq.com
Study Contact Backup
- Name: Yan Sun
- Phone Number: 13040939959
- Email: 13040939959@163.com
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
16 years to 63 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Participants scheduled for elective oro-maxillofacial surgery under general anesthesia.
- Age between 18 and 65 years old.
- The American Society of Anesthesiologists (ASA) Ⅰ~Ⅱ.
- Body mass index (BMI) 18.5~24.9kg/m2.
- Mallampati Ⅰ~Ⅱ.
- Able to give informed consent.
Exclusion Criteria:
- Participants with severe intranasal diseases.
- Participants with severe and uncontrolled clotting diseases.
- Participants with skull base fractures and cerebrospinal fluid leakage.
- Participants with unstable cardiovascular and cerebrovascular diseases, or with poor tolerance to vagal stimulation.
- Participants who are deemed ineligible for participation in the clinical trial by the investigator.
- Participants who have to receive the alternative therapy to establish ventilation after the several attempts for nasotracheal intubation.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: video rigid laryngoscope group
Similarly during intubation, the patient should be placed in the supine position with the neutral head.
The endoscopic body of video rigid laryngoscope covered by a lubricated endotracheal tube enters the airway through the nasal cavity, then proceeds under visual conditions.
When the epiglottis is exposed, if necessary, gently lift the patient's lower jaw so that the glottis is fully visible.
The tube is pushed to approach and pass the glottis.
Withdraw the endoscopic body while adjusting the depth of tube in the trachea.
The intubation ends with tube fixation.
|
According to the kinds of video methods uesd to assist in nasotracheal intubation, participants will be divided into video rigid laryngoscope group.
The data of the duration of catheter reaching oropharynx (T1), the duration of catheter reaching glottis (T2), successful intubation time (T3), the first-attempt intubation success rate, the total number of intubations for each participant, whether there is oral and nasal mucosa bleeding, whether the tracheal ring is pressed, whether the catheter is rotated, the heraodynamic changes, and the occurrence of throat complications within 2 hours after surgery, will be recorded respectively.
|
Experimental: video laryngoscope group
First of all, participants will be asked to take supine position with neutral head.
The operator will insert a lubricated endotracheal tube through the nasal cavity into the oropharynx, while he/she holds the handle of video laryngoscope in his/her left hand.
Laryngoscope blade can be placed into oral cavity along the right corner of the patient's mouth, and the tongue is pushed to the left by moving the handle.
Blade should arrive at a suitable depth to fully expose the epiglottis and glottis.
After that, the operator can push the catheter with the right hand to approach and pass the glottis, sometimes Magill forceps are necessary.
Finally, the tube is inserted into the trachea to the appropriate depth and fixed firmly.
|
According to the kinds of video methods uesd to assist in nasotracheal intubation, participants will be divided into video laryngoscope group.
The data of the duration of catheter reaching oropharynx (T1), the duration of catheter reaching glottis (T2), successful intubation time (T3), the first-attempt intubation success rate, the total number of intubations for each participant, whether there is oral and nasal mucosa bleeding, whether the tracheal ring is pressed, whether the catheter is rotated, the heraodynamic changes, and the occurrence of throat complications within 2 hours after surgery, will be recorded respectively.
|
Experimental: video fiberoptic scope group
It is suggested to apply paraffin oil to the surface of the insertion tube of video fiberoptic scope, where the friction with the inner wall of the endotracheal catheter will be reduced.
The insertion tube together with a lubricated endotracheal tube will be placed into the nasopharynx through the nasal cavity of patient who takes supine position with neutral head.
Push the insertion tube slowly and continuously along the airway until cuff passes through the glottis.
Next carefully, the endotracheal tube can be delivered into the trachea, and the insertion tube can be withdrawn from the trachea.
At last, the tracheal catheter can be fixed after the depth is adjusted to an appropriate level.
|
According to the kinds of video methods uesd to assist in nasotracheal intubation, participants will be randomly divided into video fiberoptic scope group.
The data of the duration of catheter reaching oropharynx (T1), the duration of catheter reaching glottis (T2), successful intubation time (T3), the first-attempt intubation success rate, the total number of intubations for each participant, whether there is oral and nasal mucosa bleeding, whether the tracheal ring is pressed, whether the catheter is rotated, the heraodynamic changes, and the occurrence of throat complications within 2 hours after surgery, will be recorded respectively.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the duration of catheter reaching oropharynx
Time Frame: within 1 minute
|
time requirements for delivering the anterior segment of the endotracheal tube from the nasal cavity to the oropharynx
|
within 1 minute
|
the duration of catheter reaching glottis
Time Frame: within 1 minute
|
time requirements for the anterior segment of the endotracheal tube from being put into the nasal cavity to the glottis being exposed
|
within 1 minute
|
successful intubation time
Time Frame: within 3 minute
|
time requirements for delivering the anterior segment of the endotracheal tube from the nasal cavity to the trachea
|
within 3 minute
|
the first-attempt intubation success rate
Time Frame: anticipated eight months
|
number of successful first-attempt intubation/total number of intubations
|
anticipated eight months
|
average number of intubations
Time Frame: anticipated eight months
|
average number of nasotracheal intubations for each participant
|
anticipated eight months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
the number of participants whose oral and nasal mucosa bleeds during intubation
Time Frame: within 3 minute
|
during nasotracheal intubation, whether airway soft tissue is damaged, such as bleeding
|
within 3 minute
|
the number of participants whose tracheal ring is pressed and catheter is rotated when intubation
Time Frame: within 3 minute
|
during nasotracheal intubation, record whether the operator presses the tracheal ring and rotates the tracheal tube to assist intubation
|
within 3 minute
|
Blood pressure values before and after intubation intubation
Time Frame: 20 minute
|
record blood pressure values before and after intubation
|
20 minute
|
Heart rate values before and after intubation intubation
Time Frame: 20 minute
|
record heart rate before and after intubation
|
20 minute
|
the occurrence of throat complications
Time Frame: within 2 hours after surgery
|
inquiry and record intubation related complications, such as sore throat and hoarseness
|
within 2 hours after surgery
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Park DH, Lee CA, Jeong CY, Yang HS. Nasotracheal intubation for airway management during anesthesia. Anesth Pain Med (Seoul). 2021 Jul;16(3):232-247. doi: 10.17085/apm.21040. Epub 2021 Jul 30.
- Zhang J, Lamb A, Hung O, Hung C, Hung D. Blind nasal intubation: teaching a dying art. Can J Anaesth. 2014 Nov;61(11):1055-6. doi: 10.1007/s12630-014-0223-9. Epub 2014 Aug 15. No abstract available.
- Gorback MS. Inflation of the endotracheal tube cuff as an aid to blind nasal endotracheal intubation. Anesth Analg. 1987 Sep;66(9):916-7. No abstract available.
- Abdallah R, Galway U, You J, Kurz A, Sessler DI, Doyle DJ. A randomized comparison between the Pentax AWS video laryngoscope and the Macintosh laryngoscope in morbidly obese patients. Anesth Analg. 2011 Nov;113(5):1082-7. doi: 10.1213/ANE.0b013e31822cf47d. Epub 2011 Sep 14.
- Tachibana N, Niiyama Y, Yamakage M. Less postoperative sore throat after nasotracheal intubation using a fiberoptic bronchoscope than using a Macintosh laryngoscope: A double-blind, randomized, controlled study. J Clin Anesth. 2017 Jun;39:113-117. doi: 10.1016/j.jclinane.2016.10.026. Epub 2017 Apr 6.
- Enterlein G, Byhahn C; American Society of Anesthesiologists Task Force. [Practice guidelines for management of the difficult airway: update by the American Society of Anesthesiologists task force]. Anaesthesist. 2013 Oct;62(10):832-5. doi: 10.1007/s00101-013-2222-6. German.
- Park EY, Kim JY, Lee JS. Tracheal intubation using the Airtraq: a comparison with the lightwand. Anaesthesia. 2010 Jul;65(7):729-32. doi: 10.1111/j.1365-2044.2010.06376.x. Epub 2010 May 17.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Estimated)
September 1, 2023
Primary Completion (Estimated)
June 30, 2024
Study Completion (Estimated)
July 31, 2024
Study Registration Dates
First Submitted
August 30, 2022
First Submitted That Met QC Criteria
September 7, 2022
First Posted (Actual)
September 9, 2022
Study Record Updates
Last Update Posted (Actual)
August 18, 2023
Last Update Submitted That Met QC Criteria
August 16, 2023
Last Verified
August 1, 2023
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 2022SY
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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