Shortened Uncuffed Endotracheal Tube as a Nasopharyngeal Airway in Training in Fiberoptic Intubation

NCT04852263 | Completed

• 1 other identifier: REC-HSD-67-2021
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Fiberoptic intubation is an effective technique for establishing airway access in patients with critical airways. Objective: It was hypothesized that the learning of oral fiberoptic intubation by the anesthesia resident trainee is easier and safe using modified nasopharyngeal airway. Methodology: This prospective randomized study was done on 62 adult patients with normal airway scheduled for elective oral fiberoptic intubation, their age 20 -60 years, 56 males and 6 females, American Society of Anesthesiologists I-III class. After institute ethical committee clearance and written informed consent, patients were randomly divided into two groups of 31 each; Group I: oral fiberoptic intubation was carried out using lingual traction. In group II, FOI was carried out using lingual traction plus a shortened uncuffed nasal endotracheal tube (modified nasopharyngeal airway). Time taken to successful tracheal intubation and other technical parameters were recorded. Heart rate, mean arterial blood pressure, oxygen saturation, end-tidal carbon dioxide tension, and any associated complications were also recorded.

Conditions

Surgery

Outcome Measures

Primary Outcomes (1)

• Oxygen saturation

  It was regularly observed during procedure

  During procedure

Secondary Outcomes (1)

• Time taken to successful intubation

  During procedure

Study Arms (2)

Group I

OTHER

Fiberoptic intubation was carried out without nasopharyngeal airway

Other: Group I

Group II (NPA group)

OTHER

Fiberoptic intubation was performed with a modified nasopharyngeal airway.

Other: Group II (NPA group)

Interventions

Group I OTHER

Oral fiberoptic intubation was carried out using lingual traction without nasopharyngeal airway.

Also known as: Oral fiberoptic intubation

Group I

Group II (NPA group) OTHER

Oral fiberoptic intubation was carried out using lingual traction plus modified nasopharyngeal airway.

Also known as: Oral fiberoptic intubation plus modified nasopharyngeal airway

Group II (NPA group)

Eligibility Criteria

• Age: 20 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with normal airway,
• years,
• ASA grade I - III with mallampati class I or II.

You may not qualify if:

• Patients who refused to undergo the procedure,
• Presence of an absolute contraindication to nasal intubation like head trauma, a nasal mass, and deviated nasal septum.

Sponsors & Collaborators

• Prince Sattam Bin Abdulaziz University: lead

Study Sites (1)

Prince Sattam bin Abdulaziz University

Al Kharj, Riyadh Region, 11942, Saudi Arabia

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: April 9, 2021
• First Posted: April 21, 2021
• Study Start: January 1, 2019
• Primary Completion: January 1, 2020
• Study Completion: March 1, 2021
• Last Updated: August 27, 2021

Record last verified: 2021-08

Locations

SA (1)