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Nasotracheal intubation in patients with limited mouth opening: a comparison between fibreoptic intubation and the Trachway ®
Author(s) -
Lee M. C.,
Tseng K. Y.,
Shen Y. C.,
Lin C. H.,
Hsu C. W.,
Hsu H. J.,
Lu I. C.,
Cheng K. I.
Publication year - 2016
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.13232
Subject(s) - nasotracheal intubation , medicine , intubation , laryngoscopy , anesthesia , tracheal intubation , surgery
Summary In patients with limited mouth opening, traditional laryngoscopy and videolaryngoscopes are not useful when performing nasotracheal intubation. Eighty patients with limited mouth opening who required nasotracheal intubation were randomly assigned to either fibreoptic intubation (n = 40) or the Trachway ® (n = 40). Using the modified nasal intubation difficulty scale, 22 (55%) patients who received fibreoptic intubation were categorised as no difficulty compared with 40 (100%) patients in the Trachway group (p < 0.001). Mean ( SD ) total intubation time was 71.8 (23.3) s in patients who received fibreoptic intubation compared with 35.4 (9.8) s in the Trachway group (p < 0.001). We conclude that the Trachway technique for nasotracheal intubation is quicker and easier compared with fibreoptic intubation in patients with limited mouth opening.