Comparison Between Nasal and Oropharyngeal Bleeding in Video Laryngoscopy and Direct Laryngoscopy for Nasal Intubation
Comparison Between Nasal and Oropharyngeal Bleeding in Video Laryngoscopy and Direct Laryngoscopy for Nasal Intubation in Maxillofacial Trauma Patients: a Randomized Controlled Trial
Aswan University
64 participants
Jun 1, 2024
INTERVENTIONAL
Conditions
Summary
The objective of this study is to compare the effectiveness and safety of video laryngoscopy versus direct laryngoscopy for nasal intubation in patients with maxillofacial fractures regarding less bleeding to oral and nasal structures, quicker intubation times, increased success rates for first intubation attempts, fewer uses of the Magill forceps and the less need for cervical spine extension
Eligibility
Inclusion Criteria3
- Patients who will undergo maxillofacial surgeries with nasotracheal intubation..
- ASA I/II patients.
- BMI \<35
Exclusion Criteria6
- Having bleeding diathesis and abnormal Prothrombin Time (PT), Partial Thromboplastin Time (PTT), or platelet counts.
- Local causes of bleeding as adenoid
- On medications that alter blood coagulation as anticoagulants and antiplatlets.
- Patients in which either intubation failed on both nostrils or where intubation was only possible with a tube smaller than 6.0 mm internal diameter(ID).
- Anticipated difficult airways.
- ASA III/IV.
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Interventions
To compare combined video laryngoscopy and bougie versus direct laryngoscopy and bougie for nasal intubation.
To compare combined video laryngoscopy and bougie versus direct laryngoscopy and bougie for nasal intubation
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT06386757