scholarly journals Comparison with tube core and Magill forceps for nasotracheal intubation: a randomized controlled trial

2020 ◽  
Author(s):  
Rui Hu ◽  
Jingyi Niu ◽  
Lining Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nasal Cavity ◽  
Controlled Trial ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Magill Forceps ◽  
Randomized Controlled ◽  
Paraffin Oil ◽  
Significant Difference ◽  
Oral Tissue

Objective: Magill forceps are frequently used to complete the process of nasotracheal intubation (NTI). We aimed to identify a tube core that could facilitate the NTI process conveniently without Magill forceps. Methods: Sixty patients scheduled for oral and maxillofacial surgeries with no differences between the two groups (30 per group) with regard to demographic data were enrolled in our study. In Group M, the wire-reinforced endotracheal catheter was inserted into the trachea using Magill forceps. However, in Group T, a tube core bent to the physiological curve of the nasal cavity lubricated with aseptic paraffin oil was inserted into the endotracheal catheter, and it was then withdrawn after the endotracheal catheter was advanced through the glottis under direct vision. Results: All NTIs were completed successfully, and no Magill forceps were used in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). There was no presence of damaged oral tissue or damage to the teeth in either group. Conclusion: We conclude that using the tube core, which is a disposable sterilised stylet, for NTI is a convenient choice.

scholarly journals Comparison of a tube core and Magill forceps for nasotracheal intubation: a randomised controlled trial

2021 ◽  
Author(s):  
Rui Hu ◽  
Jing-Yi Niu ◽  
Li-Ning Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Clinical Trial Registry ◽  
Magill Forceps ◽  
Paraffin Oil ◽  
Significant Difference ◽  
Oral Tissue ◽  
Randomised Controlled ◽  
Patient Enrolment

Abstract Background: Magill forceps are frequently used to complete nasotracheal intubation (NTI). We aimed to identify a tube core that could conveniently facilitate the NTI process without using Magill forceps.Methods: Sixty patients scheduled for oral and maxillofacial surgeries were enrolled in our study and divided into two groups (30 per group) with no differences with regard to demographic data. In the Magill forceps group (Group M), a wire-reinforced endotracheal catheter was inserted into the trachea using Magill forceps. However, in the tube core group (Group T), a tube core bent to the physiological curve of the nasal cavity and lubricated with aseptic paraffin oil was inserted into the endotracheal catheter and was then withdrawn after the endotracheal catheter was advanced through the glottis under direct vision.Results: All NTIs were completed successfully, and Magill forceps were not used on any patient in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). No damage to oral tissue or teeth was observed in either group.Conclusions: We conclude that using a tube core, consisting of a disposable sterilised stylet, is a convenient choice for NTI.Trial registration: Patient enrolment was conducted after registration in the Chinese Clinical Trial Registry (www.Chictr.org.cn, ChiCTR1900027387). This trial was prospectively registered on 11 November 2019.

scholarly journals Comparison with Tube Core and Magill forceps for Nasotracheal Intubation: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Rui Hu ◽  
Jingyi Niu ◽  
Lining Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Controlled Trial ◽  
Liquid Paraffin ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Clinical Trial Registry ◽  
Magill Forceps ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Oral Tissue

Abstract Background: Magill forceps are frequently used to complete the process of nasotracheal intubation (NTI). We aimed to identify a tube core that could facilitate the NTI process conveniently without Magill forceps. Methods: Sixty patients with no differences between the two groups (30 per group) with regard to demographic data were enrolled in our study. In Group M, the wire-reinforced tracheal tube was inserted into the trachea using Magill forceps. However, in Group T, a tube core bent to the physiological curve of the nasal cavity lubricated with aseptic liquid paraffin was inserted into the tracheal tube, and the tube core was then withdrawn after the tracheal tube was advanced through the glottis under direct vision. Results: All NTIs were completed successfully, and no Magill forceps were used in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). There was no presence of damaged oral tissue or damage to the teeth in either group. Conclusion: We conclude that using the tube core, which is a disposable sterilised stylet, for NTI is a convenient choice. Trial registrations: This clinical research was registered at the Chinese Clinical Trial Registry (www.Chictr.org.cn, ChiCTR1900027387).

scholarly journals Comparison with tube core and Magill forceps for nasotracheal intubation: a randomized controlled trial

2020 ◽  
Author(s):  
Rui Hu ◽  
Jingyi Niu ◽  
Lining Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Tracheal Tube ◽  
Controlled Trial ◽  
Liquid Paraffin ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Clinical Trial Registry ◽  
Magill Forceps ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Oral Tissue

Abstract Background: Magill forceps are frequently used to complete the process of nasotracheal intubation (NTI). We aimed to identify a tube core that could facilitate the NTI process conveniently without Magill forceps. Methods: Sixty patients with no differences between the two groups (30 per group) with regard to demographic data were enrolled in our study. In Group M, the wire-reinforced tracheal tube was inserted into the trachea using Magill forceps. However, in Group T, a tube core bent to the physiological curve of the nasal cavity lubricated with aseptic liquid paraffin was inserted into the tracheal tube, and the tube core was then withdrawn after the tracheal tube was advanced through the glottis under direct vision. Results: All NTIs were completed successfully, and no Magill forceps were used in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). There was no presence of damaged oral tissue or damage to the teeth in either group. Conclusion: We conclude that using the tube core, which is a disposable sterilised stylet, for NTI is a convenient choice. Trial registrations: This clinical research was registered at the Chinese Clinical Trial Registry (www.Chictr.org.cn, ChiCTR1900027387).

scholarly journals Comparison of a tube core and Magill forceps for nasotracheal intubation: a randomised controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Rui Hu ◽  
Jing-Yi Niu ◽  
Li-Ning Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Clinical Trial Registry ◽  
Magill Forceps ◽  
Paraffin Oil ◽  
Significant Difference ◽  
Oral Tissue ◽  
Randomised Controlled ◽  
Patient Enrolment

Abstract Background Magill forceps are frequently used to complete nasotracheal intubation (NTI). We aimed to identify a tube core that could conveniently facilitate the NTI process without using Magill forceps. Methods Sixty patients scheduled for oral and maxillofacial surgeries were enrolled in our study and divided into two groups (30 per group) with no differences with regard to demographic data. In the Magill forceps group (Group M), a wire-reinforced endotracheal catheter was inserted into the trachea using Magill forceps. However, in the tube core group (Group T), a tube core bent to the physiological curve of the nasal cavity and lubricated with aseptic paraffin oil was inserted into the endotracheal catheter and was then withdrawn after the endotracheal catheter was advanced through the glottis under direct vision. Results All NTIs were completed successfully, and Magill forceps were not used on any patient in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) s vs Group T, 52.4 (3.1) s). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). No damage to oral tissue or teeth was observed in either group. Conclusions We conclude that using a tube core, consisting of a disposable sterilised stylet, is a convenient choice for NTI. Trial registration Patient enrolment was conducted after registration in the Chinese Clinical Trial Registry (www.Chictr.org.cn, ChiCTR190002 7387). This trial was prospectively registered on 11 November 2019.

scholarly journals Comparison of A Tube Core And Magill Forceps For Nasotracheal Intubation: A Randomised Controlled Trial

2021 ◽  
Author(s):  
Rui Hu ◽  
Jing-Yi Niu ◽  
Li-Ning Wu ◽  
Hao Sun ◽  
Peng Sun ◽  
...  
Keyword(s):  
Controlled Trial ◽  
Demographic Data ◽  
Nasotracheal Intubation ◽  
Clinical Trial Registry ◽  
Magill Forceps ◽  
Paraffin Oil ◽  
Significant Difference ◽  
Oral Tissue ◽  
Randomised Controlled ◽  
Patient Enrolment

Abstract Background: Magill forceps are frequently used to complete nasotracheal intubation (NTI). We aimed to identify a tube core that could conveniently facilitate the NTI process without using Magill forceps. Methods: Sixty patients scheduled for oral and maxillofacial surgeries were enrolled in our study and divided into two groups (30 per group) with no differences with regard to demographic data. In the Magill forceps group (Group M), a wire-reinforced endotracheal catheter was inserted into the trachea using Magill forceps. However, in the tube core group (Group T), a tube core bent to the physiological curve of the nasal cavity and lubricated with aseptic paraffin oil was inserted into the endotracheal catheter and was then withdrawn after the endotracheal catheter was advanced through the glottis under direct vision. Results: All NTIs were completed successfully, and Magill forceps were not used on any patient in Group T. There was a significant difference in total NTI time between the two groups (Group M, 59.7 (5.1) sec vs Group T, 52.4 (3.1) sec). Mild epistaxis was observed in 6 patients in Group M and 5 patients in Group T (6/30 vs 5/30, respectively). No damage to oral tissue or teeth was observed in either group. Conclusions: We conclude that using a tube core, consisting of a disposable sterilised stylet, is a convenient choice for NTI. Trial registration: Patient enrolment was conducted after registration in the Chinese Clinical Trial Registry ( www.Chictr.org.cn , ChiCTR190002 7387). This trial was prospectively registered on 11 November 2019.

A Randomized Controlled Trial Assessing the Effect of a Continuous Subcutaneous Infusion of Local Anesthetic Following Elective Surgery to the Great Toe

2016 ◽  
Vol 10 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Barry Rose ◽  
Kumar Kunasingam ◽  
Tristan Barton ◽  
James Walsh ◽  
Karen Fogarty ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Continuous Infusion ◽  
Postoperative Analgesia ◽  
Local Anesthetic ◽  
Elective Surgery ◽  
Controlled Trial ◽  
Demographic Data ◽  
Randomised Control Trial ◽  
Randomized Controlled ◽  
Significant Difference

Local anesthetic use for wound infusions, single injection, and continuous nerve blocks for postoperative analgesia is well established. No study has investigated the effect of a continuous block of the saphenous and superficial peroneal nerves at the level of the ankle joint following first ray surgery. A double blind randomized controlled trial was designed. One hundred patients with hallux valgus and rigidus requiring surgical correction were recruited and randomized to receive a postoperative continuous infusion at the ankle of normal saline or ropivacaine for 24 hours. Pain scores were recorded on postoperative days 1 and 7. There were more females than males. Follow-up was 100%. There were no significant differences in demographic data between the 2 randomized groups. There was no significant difference between the absolute visual analog scale scores on day 1 (P = .14) and day 7 (P = .16); nor was there a significant difference in reduction in scores between days 1 and 7 (P = .70). This study has shown no benefit to postoperative analgesia with the use of a continuous infusion of ropivacaine at the ankle. We, therefore, cannot currently recommend its use in the way described. Further studies may still identify a role for continuous local anesthetic infusions at the ankle to improve postoperative analgesia. Levels of Evidence: Level I : Prospective randomised control trial.

scholarly journals Effect of neck extension on the advancement of tracheal tubes from the nasal cavity to the oropharynx in nasotracheal intubation: a randomized controlled trial

2019 ◽  
Author(s):  
Hyerim Kim ◽  
Jung-Man Lee ◽  
Jiwon Lee ◽  
Jin-Young Hwang ◽  
Jee-Eun Chang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nasal Cavity ◽  
Success Rate ◽  
Controlled Trial ◽  
Nasotracheal Intubation ◽  
Neutral Position ◽  
Neck Extension ◽  
Randomized Controlled ◽  
Extension Group ◽  
Position Group

Abstract Background Clinicians sometimes encounter resistance in advancing a tracheal tube, which is inserted via a nostril, from the nasal cavity into the oropharynx during nasotracheal intubation. The purpose of this study was to investigate the effect of neck extension on advancement of tracheal tubes from the nasal cavity into the oropharynx during nasotracheal intubation. Methods Patients were randomized to the ‘neck extension group (E group)’ or ‘neutral position group (N group)’ for this randomized controlled trial. After induction of anesthesia, a nasal RAE tube was inserted via a nostril. For the E group, an anesthesiologist advanced the tube from the nasal cavity into the oropharynx with the patient’s neck extended. For the N group, an anesthesiologist advanced the tube without neck extension. If the tube was successfully advanced into the oropharynx within two attempts by the same maneuver according to the assigned group, the case was defined as to ‘success.’ We compared the success rate of tube advancement between the two groups. Results Thirty-two patients in the E group and 33 in the N group completed the trial. The success rate of tube passage during the first two attempts was significantly higher in the E group than in the N group (93.8% vs. 60.6%; odds ratio = 9.75, 95% CI = [1.98, 47.94], p = 0.002). Conclusion Neck extension during tube advancement from the nasal cavity to the oropharynx before laryngoscopy could be helpful in nasotracheal intubation.

scholarly journals The Effect of the Educational Brochure Versus the Video on Disease Knowledge in Juvenile Idiopathic Arthritis Patients: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Waraporn Sunthornsup ◽  
Sirisucha Soponkanaporn ◽  
Soamarat Vilaiyuk
Keyword(s):  
Randomized Controlled Trial ◽  
Juvenile Idiopathic Arthritis ◽  
Controlled Trial ◽  
Demographic Data ◽  
P Value ◽  
Disease Knowledge ◽  
Randomized Controlled ◽  
Significant Difference ◽  
Post Test ◽  
Video Group

Abstract Background: Juvenile idiopathic arthritis (JIA) is the most common pediatric rheumatic disease. Patient education plays an important role in the management of such chronic disease. Although JIA educational materials are available, patients may not reach them due to limited health literacy or limited access. This study aimed to compare the effectiveness between a brochure and a video in JIA-related knowledge.Methods: This was a randomized controlled trial study. 100 JIA patients or their caregivers, whose JIA patients were not graduated at least 8thgrade were randomized into two groups with 50 subjects per arms. The intervention groups were reading the brochure (n=50) or watching the content matched video (n=50). Fifteen multiple-choice knowledge questionnaires about JIA were answered before, immediately after intervention and at follow-up 4 weeks later. Demographic data and disease activity were recorded.Results: In this study, age of patients in the brochure and video group were 13.2 ± 4.6 years and 14.3 ± 5.1 years, respectively. Most of them were female (57%), diagnosed systemic JIA (37%) and were in active disease status (48%). There was no difference in all baseline demographic data. About 70% of patients had low average monthly family income per household. More than 50% of JIA graduated below secondary school. The mean correct score rates prior to the intervention were 51% and 56% in the brochure group and video group, respectively (p-value 0.28). Post-test total knowledge scores showed that participants in the video group had better knowledge than participants in the brochure group (p-value 0.003). In four-week post-test, both groups had statistically significantly lower total knowledge scores (the brochure 73%, the video 78%) when compared to the immediate post-test score. Moreover, there was no significant difference in four-week post-test scores between two groups (p-value 0.141).Conclusion: The JIA educational video was more effective than the pictorial brochure in improving immediate JIA related knowledge. However, the long-term retention of JIA related knowledge did not show the significant difference between both educational tools. To maintain JIA disease knowledge, patients should be given the knowledge of JIA disease repeatedly.Trial registration: Thaiclinicaltrials.org 06/03/2020, TCTR20200310004, prospectively registered.

scholarly journals Effect of neck extension on the advancement of tracheal tubes from the nasal cavity to the oropharynx in nasotracheal intubation: a randomized controlled trial

2019 ◽  
Author(s):  
Hyerim Kim ◽  
Jung-Man Lee ◽  
Jiwon Lee ◽  
Jin-Young Hwang ◽  
Jee-Eun Chang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nasal Cavity ◽  
Success Rate ◽  
Controlled Trial ◽  
Nasotracheal Intubation ◽  
Neutral Position ◽  
Neck Extension ◽  
Randomized Controlled ◽  
Extension Group ◽  
Position Group

Abstract Background Clinicians sometimes encounter resistance in advancing a tracheal tube, which is inserted via a nostril, from the nasal cavity into the oropharynx during nasotracheal intubation. The purpose of this study was to investigate the effect of neck extension on advancement of tracheal tubes from the nasal cavity into the oropharynx during nasotracheal intubation. Methods Patients were randomized to the ‘neck extension group (E group)’ or ‘neutral position group (N group)’ for this randomized controlled trial. After induction of anesthesia, a nasal RAE tube was inserted via a nostril. For the E group, an anesthesiologist advanced the tube from the nasal cavity into the oropharynx with the patient’s neck extended. For the N group, an anesthesiologist advanced the tube without neck extension. If the tube was successfully advanced into the oropharynx within two attempts by the same maneuver according to the assigned group, the case was defined as to ‘success.’ We compared the success rate of tube advancement between the two groups. Results Thirty-two patients in the E group and 33 in the N group completed the trial. The success rate of tube passage during the first two attempts was significantly higher in the E group than in the N group (93.8% vs. 60.6%; odds ratio = 9.75, 95% CI = [1.98, 47.94], p = 0.002). Conclusion Neck extension during tube advancement from the nasal cavity to the oropharynx before laryngoscopy could be helpful in nasotracheal intubation.

scholarly journals Effect of neck extension on the advancement of tracheal tubes from the nasal cavity to the oropharynx in nasotracheal intubation: a randomized controlled trial

2019 ◽  
Author(s):  
Hyerim Kim ◽  
Jung-Man Lee ◽  
Jiwon Lee ◽  
Jin-Young Hwang ◽  
Jee-Eun Chang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Nasal Cavity ◽  
Success Rate ◽  
Controlled Trial ◽  
Nasotracheal Intubation ◽  
Neutral Position ◽  
Neck Extension ◽  
Randomized Controlled ◽  
Extension Group ◽  
Position Group

Abstract Background Clinicians sometimes encounter resistance in advancing a tracheal tube, which is inserted via a nostril, from the nasal cavity into the oropharynx during nasotracheal intubation. The purpose of this study was to investigate the effect of neck extension on advancement of tracheal tubes from the nasal cavity into the oropharynx during nasotracheal intubation. Methods Patients were randomized to the ‘neck extension group (E group)’ or ‘neutral position group (N group)’ for this randomized controlled trial. After induction of anesthesia, a nasal RAE tube was inserted via a nostril. For the E group, an anesthesiologist advanced the tube from the nasal cavity into the oropharynx with the patient’s neck extended. For the N group, an anesthesiologist advanced the tube without neck extension. If the tube was successfully advanced into the oropharynx within two attempts by the same maneuver according to the assigned group, the case was defined as to ‘success.’ We compared the success rate of tube advancement between the two groups. Results Thirty-two patients in the E group and 33 in the N group completed the trial. The success rate of tube passage during the first two attempts was significantly higher in the E group than in the N group (93.8% vs. 60.6%; odds ratio = 9.75, 95% CI = [1.98, 47.94], p = 0.002). Conclusion Neck extension during tube advancement from the nasal cavity to the oropharynx before laryngoscopy could be helpful in nasotracheal intubation.

Sign in / Sign up

Export Citation Format

Share Document