210 results match your criteria laryngoscopy nasotracheal


Comparing Video and Direct Laryngoscopy for Nasotracheal Intubation.

Anesth Prog 2020 12;67(4):193-199

Assistant Professor, Department of Oral & Maxillofacial Surgery, School of Dentistry, Louisiana State University Health Sciences Center, New Orleans, Louisiana.

This parallel group randomized controlled clinical trial compared intubation duration and success using video laryngoscopy (VL) versus direct laryngoscopy (DL) during routine nasotracheal intubation. Fifty patients undergoing oral and maxillofacial surgery under general anesthesia were randomly assigned into 2 groups receiving either VL or DL to facilitate nasotracheal intubation. The primary outcome was the amount of time required to complete nasotracheal intubation. Read More

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December 2020

Total control introducer-aided nasotracheal intubation using a videolaryngoscope in an anticipated difficult airway: a novel technique.

BMJ Case Rep 2020 Dec 13;13(12). Epub 2020 Dec 13.

Anaesthesiology, Dr RML Hospital and PGIMER, New Delhi, Delhi, India.

Nasotracheal intubation can be challenging due to undesirable incidence of nasal bleeding and soft tissue injuries. The bleeding can obscure glottis visualisation, increase the total intubation time, the risk of aspiration and oxygen desaturation. Total control introducer is a new airway adjunct with a flexible shaft, articulating tip and an intuitive depth control system, which can be used in difficult airway scenarios to improve the success of nasal intubations. Read More

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December 2020

Risk factors affecting the difficulty of fiberoptic nasotracheal intubation.

J Dent Anesth Pain Med 2020 Oct 30;20(5):293-301. Epub 2020 Oct 30.

Department of Dental Anesthesiology, School of Dentistry, Seoul National University, Seoul, Korea.

Background: The success rate of intubation under direct laryngoscopy is greatly influenced by laryngoscopic grade using the Cormack-Lehane classification. However, it is not known whether grade under direct laryngoscopy can also affects the success rate of nasotracheal intubation using a fiberoptic bronchoscpe, so this study investigated the same. In addition, we investigated other factors that influence the success rate of fiberoptic nasotracheal intubation (FNI). Read More

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October 2020

Nasotracheal Intubation Among Children Requiring Mechanical Ventilation: Good, Better, or Best?

Pediatr Crit Care Med 2020 11;21(11):1024-1025

Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.

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November 2020

A Case of Successful Tracheal Tube Exchange With McGrath MAC for Tube Damage During Oral Surgery.

Anesth Prog 2020 09;67(3):174-176

Department of Anesthesiology, Nihon University School of Dentistry, Tokyo, Japan.

A patient undergoing a bilateral sagittal split and LeFort 1 maxillary osteotomy performed under general anesthesia required emergent intraoperative exchange of a potentially damaged nasotracheal tube. This exchange was smoothly performed under constant indirect visualization using the McGrath MAC video laryngoscopy system. After the exchange, ventilation of the patient dramatically improved. Read More

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September 2020

Evaluation of Nasopharyngeal Airway to Facilitate Nasotracheal Intubation.

Ann Maxillofac Surg 2020 Jan-Jun;10(1):57-60. Epub 2020 Jun 8.

Department of Anaesthesia, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.

Background And Aims: Nasotracheal intubation is the most common method of airway management in oral and maxillofacial surgery patients. However, many times, it is associated with bleeding resulting from trauma to nasopharyngeal mucosa. We conducted this study to determine the effectiveness of nasopharyngeal airway (NPA) to easily facilitate the nasopharyngeal insertion and to reduce the trauma during nasotracheal intubation. Read More

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Guiding Flexible-Tipped Bougie Under Videolaryngoscopy: An Alternative to Fiberoptic Nasotracheal Intubation in Maxillofacial Surgeries.

J Maxillofac Oral Surg 2020 Jun 24;19(2):324-326. Epub 2020 Jan 24.

2Maxillofacial Surgery, Post Graduate Institute of Dental Sciences, University of Heath Sciences, Rohtak, India.

Background: Maxillofacial surgeries are known to have difficulty in airway management due to anatomical and functional reasons. Tumors of maxillofacial region and diseases of TM joint limit mouth opening as well as airway space. Various methods have been tried with success for nasotracheal intubation including fiberoptic-aided as well as blind nasal and light-guided intubation. Read More

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A comparison of McGrath MAC, Pentax AWS, and Macintosh direct laryngoscopes for nasotracheal intubation: a randomized controlled trial.

Ther Clin Risk Manag 2019 18;15:1121-1128. Epub 2019 Sep 18.

Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon 16499, South Korea.

Purpose: Videolaryngoscopy in nasotracheal intubation has been reported to be better than direct laryngoscopy. The most suitable type of videolaryngoscope remains unknown. This study aimed to compare two videolaryngoscopes (McGrath MAC and Pentax AWS) with a Macintosh laryngoscope during nasotracheal intubation. Read More

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September 2019

A randomized controlled comparison of non-channeled king vision, McGrath MAC video laryngoscope and Macintosh direct laryngoscope for nasotracheal intubation in patients with predicted difficult intubations.

BMC Anesthesiol 2019 08 31;19(1):166. Epub 2019 Aug 31.

Department of Anesthesiology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.

Background: King Vision and McGrath MAC video laryngoscopes (VLs) are increasingly used. The purpose of this study was to evaluate the performance of nasotracheal intubation in patients with predicted difficult intubations using non-channeled King Vision VL, McGrath MAC VL or Macintosh laryngoscope by experienced intubators.

Methods: Ninety nine ASA I or II adult patients, scheduled for oral maxillofacial surgeries with El-Ganzouri risk index 1-7 were enrolled. Read More

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A comparison between the Disposcope endoscope and fibreoptic bronchoscope for nasotracheal intubation: a randomized controlled trial.

BMC Anesthesiol 2019 08 23;19(1):163. Epub 2019 Aug 23.

Hefei National Laboratory for Physical Sciences at the Microscale, Department of Biophysics and Neurobiology, University of Science and Technology of China, Hefei, 230027, People's Republic of China.

Background: Nasotracheal intubation (NTI) is frequently performed for oral and maxillofacial surgeries. This study evaluated whether NTI is easier when guided by Disposcope endoscopy or fibreoptic bronchoscopy.

Methods: Sixty patients (30 per group) requiring NTI were randomly assigned to undergo fibreoptic bronchoscopy-guided (fibreoptic group) or Disposcope endoscope-guided (Disposcope group) NTI. Read More

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Is Tube Thermosoftening Helpful for Videolaryngoscope-Guided Nasotracheal Intubation?: A Randomized Controlled Trial.

Anesth Analg 2019 09;129(3):812-818

From the Department of Anesthesiology and Pain Medicine, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Republic of Korea.

Background: Thermosoftening of the endotracheal tube (ETT) and telescoping the ETT into a rubber catheter have been suggested as a method for reducing epistaxis during nasotracheal intubation (NTI). However, thermosoftening technique is known to make it difficult to navigate the ETT into trachea without the use of Magill forceps during NTI. The cuff inflation technique has been suggested as an effective alternative to the use of Magill forceps to improve the oropharyngeal navigation of the ETT, irrespective of their stiffness, during direct laryngoscope-guided NTI. Read More

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September 2019

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

BMC Anesthesiol 2019 08 17;19(1):158. Epub 2019 Aug 17.

Department of Anesthesiology and Pain Medicine, Seoul Metropolitan Government Seoul National University Boramae Medical Center, 20 Boramae-ro 5-gil, Dongjak-gu, Seoul, 07061, Republic of Korea.

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 the 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. Read More

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Comparing videolaryngoscope and direct laryngoscope use for nasotracheal intubation in patients with manual in-line stabilization.

Can J Anaesth 2020 02 13;67(2):268-269. Epub 2019 Aug 13.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, People's Republic of China.

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February 2020

In reply: Comparing videolaryngoscope and direct laryngoscope use for nasotracheal intubation in patients with manual in-line stabilization.

Can J Anaesth 2020 02 13;67(2):270-271. Epub 2019 Aug 13.

Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Korea.

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February 2020

[Impacts of Different Nostril for Nasotracheal Intubation with Video Laryngoscopy].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2019 Jun;41(3):379-382

Department of Anesthesiology,Plastic Surgery Hospital,CAMS and PUMC,Beijing 100144,China.

Objective To compare the impacts of different nostril on nasotracheal intubation with video laryngoscopy.Methods Totally 120 ASA grade I maxillofacial surgery patients were equally randomized into two groups:group A(left nostril)and group B(right nostril).After rapid induction of anesthesia,the nasal intubation was completed by Tosight video laryngoscope,and the success rate of the first attempt of the tube passing through the nasal cavity was recorded and compared between these two groups. Read More

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Randomized comparison of McGrath MAC videolaryngoscope, Pentax Airway Scope, and Macintosh direct laryngoscope for nasotracheal intubation in patients with manual in-line stabilization.

Can J Anaesth 2019 Oct 29;66(10):1213-1220. Epub 2019 May 29.

Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, 164, World cup-ro, Yeongtong-gu, Suwon, 16499, Korea.

Background: The objective of this study was to determine the clinical usefulness of videolaryngoscopes (VLs) by comparing the time to intubation (TTI) and the ease of intubation of McGrath MAC VL (MVL), Pentax Airway Scope VL (PVL), and Macintosh direct laryngoscope (DL) during nasotracheal intubation using manual in-line stabilization to simulate difficult airways.

Methods: One hundred and twenty patients were randomly assigned to the MVL group (n = 40), the PVL group (n = 40), and the DL group (n = 40). Nasotracheal intubation was performed using MVL, PVL, or DL, according to group assignments. Read More

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October 2019

Use of King VisionĀ® videolaryngoscope for nasotracheal intubation: A prospective observational study.

J Clin Anesth 2019 12 17;58:3-4. Epub 2019 Apr 17.

Department of Anaesthesia, Khoo Teck Puat Hospital, Yishun Central 90, Singapore 768828, Singapore.

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December 2019

Repair of type IV laryngotracheoesophageal cleft (LTEC) on ECMO.

Pediatr Surg Int 2019 May 19;35(5):565-568. Epub 2019 Feb 19.

Department of Pediatric Surgery, Kobe Children's Hospital, 1-6-7 Minatojima Minami, Chuou-ku, Kobe, Hyogo, 650-0047, Japan.

Purpose: A type IV laryngotracheoesophageal cleft (LTEC) is a very rare congenital malformation. Type IV LTEC that extends to the carina have poor prognosis and are difficult to manage. We present our experience with surgical repair in such a case using extracorporeal membranous oxygenation (ECMO). Read More

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Nasotracheal intubation with GlideScope is an alternative to difficult orotracheal intubation with GlideScope.

J Clin Anesth 2019 09 23;56:35-36. Epub 2019 Jan 23.

Department of Anaesthesiology, Tri-Service General Hospital and National Defense Medical Center, #325, Section 2, Chenggung Road, Neihu, 114 Taipei, Taiwan, Republic of China. Electronic address:

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September 2019

A comparison of the Macintosh laryngoscope, McGrath video laryngoscope, and Pentax Airway Scope in paediatric nasotracheal intubation.

Sci Rep 2018 11 26;8(1):17365. Epub 2018 Nov 26.

Department of Anesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, Republic of Korea.

We evaluated the performance of the McGrath video laryngoscope and Pentax Airway Scope in comparison with the Macintosh laryngoscope for nasotracheal intubation in paediatric patients. For this, 108 patients were enrolled in an open-label, randomized controlled trial. Patients were randomly allocated to one of three groups based on use of the Macintosh laryngoscope, McGrath video laryngoscope, or Pentax Airway Scope. Read More

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November 2018

Ease of intubation and hemodynamic responses to nasotracheal intubation using C-MAC videolaryngoscope with D blade: A comparison with use of traditional Macintosh laryngoscope.

J Anaesthesiol Clin Pharmacol 2018 Jul-Sep;34(3):381-385

Department of Anaesthesiology, Amrita Institute of Medical Sciences, AmritaVishwa Vidyapeetham, Kochi, Kerala, India.

Background And Aims: Nasal intubation with traditional Macintosh laryngoscope usually needs the use of Magill's forceps or external laryngeal manipulation. The primary objective of this study was to assess the ease of intubation during C-MAC videolaryngoscope-assisted nasal intubation using D blade and to compare it with traditional Macintosh laryngoscope-aided nasal intubation. The secondary objectives were comparison of intubation time, attempts, trauma, and hemodynamic stress responses. Read More

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November 2018

Videolaryngoscopy versus direct laryngoscopy for nasotracheal intubation: A systematic review and meta-analysis of randomised controlled trials.

J Clin Anesth 2019 Feb 25;52:6-16. Epub 2018 Aug 25.

Department of Anesthesiology, Beijing Friendship Hospital, Capital Medical University, Beijing, China. Electronic address:

Study Objective: Nasotracheal intubation (NTI) is a common practice in the oral and maxillofacial surgeries. A systematic review and meta-analysis was performed to determine whether videolaryngoscopy (VL) compared with direct laryngoscopy (DL) can lead to better outcomes for NTI in adult surgical patients.

Measurements: Only randomised controlled trials comparing VL and DL for NTI were included. Read More

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February 2019

Orotracheal intubation in a patient with difficult airway by using fiberoptic nasotracheal intubation: A case report.

J Dent Anesth Pain Med 2018 Apr 27;18(2):125-128. Epub 2018 Apr 27.

Department of Dental Anesthesiology, Seoul National University Dental Hospital, Seoul, Republic of Korea.

In cases of a difficult intubation where numerous intubation methods, including laryngoscopy, have failed, yet oral intubation is still necessary, the method of tube exchange after fiberoptic nasal intubation may be attempted. Fiberoptic nasal intubation allows intubation to be performed relatively easily when the laryngeal view grade is poor. We report a case in which our attempt at oral intubation for total maxillectomy with laryngoscopy and fiberoptic oral intubation had failed due to an unexpected difficult airway; subsequently, we successfully completed the surgery by performing fiberoptic nasal intubation to secure the airway, followed by using a tube exchanger to exchange to an oral endotracheal tube. Read More

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Difficult Removal of a Nasogastric Tube Because of Knot Formation Around a Nasotracheal Tube: A Case Report.

A A Pract 2018 Oct;11(7):184-185

From the Department of Anesthesiology, Kawasaki Municipal Hospital, Kawasaki, Japan.

Knotting of a nasogastric (NG) tube around a left nasotracheal tube occurred in the pharynx during its blind insertion via the right nares. Unusual resistance was encountered during its advancement and attempted withdrawal. The nasotracheal tube moved in tandem with the NG tube. Read More

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October 2018

A Randomized Trial Comparing the Effect of Fiberoptic Selection and Guidance Versus Random Selection, Blind Insertion, and Direct Laryngoscopy, on the Incidence and Severity of Epistaxis After Nasotracheal Intubation.

Anesth Analg 2018 08;127(2):485-489

From the Department of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, Illinois.

Background: Epistaxis, or nasal bleeding, is a common complication after nasotracheal intubation (NTI). Because such bleeding is likely related to trauma during intubation, use of fiberoptic visualization and guidance rather than direct laryngoscopy may affect the incidence and severity of epistaxis. We compared the incidence of epistaxis after NTI using a fiberoptic versus a direct laryngoscopy approach. Read More

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Nasotracheal Intubation in Children for Outpatient Dental Surgery: Is Fiberoptic Bronchoscopy Useful?

Authors:
A S Ozkan S Akbas

Niger J Clin Pract 2018 Feb;21(2):183-188

Faculty of Medicine, Inonu University, Malatya, Turkey.

Background: The aim of our study was to compare the hemodynamic responses and adverse events associated with nasotracheal intubation (NTI) using a fiberoptic bronchoscope (FOB) and a direct laryngoscope (DLS) in children undergoing general anesthesia for outpatient dental surgery.

Methods: Eighty children (aged 5-15 years) were scheduled to undergo outpatient dental surgery under general anesthesia and of these children those who required NTI were included.

Results: NTI was significantly longer in the FOB group (P = 0. Read More

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February 2018

Comparing bougie-guided and conventional nasotracheal intubations using videolaryngoscopy - a reply.

Authors:
R O Abrons

Anaesthesia 2018 03;73(3):391-393

University of Iowa Hospitals and Clinics, Iowa City, IA, USA.

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Comparison of Nasal Intubations by GlideScope With and Without a Bougie Guide in Patients Who Underwent Maxillofacial Surgeries: Randomized Clinical Trial.

Anesth Analg 2018 05;126(5):1641-1645

From the Department of Anesthesiology, Sina Hospital.

Background: Nasotracheal intubation is commonly performed to provide a secure airway for the maintenance of general anesthesia in maxillofacial surgeries. Routine nasotracheal intubation is performed under general anesthesia by direct laryngoscopy, frequently with the aid of Magill forceps. This method can be time-consuming and may cause bleeding in the field of view. Read More

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