The First Affiliated Hospital of Nanjing Medical University
Nanjing, Jiangsu, 210029, China
NCT Number: NCT04343014
Patients admit to the operation rooms of First Affiliated Hospital of Nanjing Medical University and requiring endotracheal intubation for general anesthesia will be enrolled in this case controlled study.
Patients 1) aged 18 to 70 years; 2) ASA graded I~II class; 3) general anesthesia should be performed under endotracheal intubation, will be included from this study. Patients 1) with organ transplant operations; 2) with thoracic and cardiac vascular surgery; 3) with severe heart or lung disease; 4) BMI over 35kg/m2, will be excluded from this study.
The primary aim is to compare airway clearance for fibreoptic tracheal intubation in each patient position. Secondary outcomes include times to view the vocal cord and carina, the time for tube advancement through the vocal cords, as well as the total time to achieve tracheal intubation.Two anesthesiologists with 5 years of experience in conventional endotracheal intubation and trained for fibreoptic intubation will perform the maneuvers.
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Notify Me18 year–70 year
All sexes
Interventional
Not applicable
Nanjing, Jiangsu, 210029, China
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
Fibroptic endutracheal intubation will be performed with tongue root retractor.
Fibroptic endutracheal intubation will be performed in conventional way.
Time frame: From start of intubation to successfully intubated (the endotracheal tube enters the trachea and the cuff is inflated), usually within 3 minutes.
Successs of intubation at different attempts.
Time frame: within 30 seconds after the beginning of fibroscopy
Airway clearance at the epiglottis level was assessed by observing whether the epiglottis was in contact with the posterior pharyngeal wall
Time frame: within 90 seconds
time from the beginning of fibroscopy to the confirmation of the carina
Time frame: from start of first intubation to end of first intubation attempt
the success rate on 1st attempt
Time frame: within 120 seconds
number of attempts for tube advancement from the beginning of fibroscopy to the success of the intubation
The First Affiliated Hospital with Nanjing Medical University
Other
Effects of Tongue Root Retractor for Fibroscopic Intubation: a Feasibility Study
Acronym: TRFI
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