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An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT

BACKGROUND: Awake nasotracheal fiberoptic intubation by conventional technique is time consuming and requires expertise. Complications encountered in the conventional technique sometime leads to procedure failure. OBJECTIVE: The primary aim of this study was to compare the innovative technique using...

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Autores principales: Meena, Kavita, Meena, Rajesh Kumar, Palanisamy, Deepak, Deepesh, Nayak, Aditya Prakash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10235747/
https://www.ncbi.nlm.nih.gov/pubmed/37273437
http://dx.doi.org/10.4103/njms.njms_120_22
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author Meena, Kavita
Meena, Rajesh Kumar
Palanisamy, Deepak
Deepesh,
Nayak, Aditya Prakash
author_facet Meena, Kavita
Meena, Rajesh Kumar
Palanisamy, Deepak
Deepesh,
Nayak, Aditya Prakash
author_sort Meena, Kavita
collection PubMed
description BACKGROUND: Awake nasotracheal fiberoptic intubation by conventional technique is time consuming and requires expertise. Complications encountered in the conventional technique sometime leads to procedure failure. OBJECTIVE: The primary aim of this study was to compare the innovative technique using split nasopharyngeal airway (SNPA) with the conventional technique for nasotracheal fiberoptic intubation in terms of time taken for intubation. METHOD: This was a prospective, randomized, and single blind study conducted with 80 patients who were scheduled for maxillofacial surgery. Patients were randomized into two groups, group CFBI (conventional fiberoptic intubation) and group SNPA (split nasopharyngeal airway). In both the groups patients were prepared for awake fiberoptic naso-tracheal intubation. In Group CFBI (N = 41) awake naso-tracheal intubation was achieved by conventional technique of bronchoscope first approach. In Group SNPA (N = 39) spirally split nasopharyngeal airway was used first as a conduit for the passage of fiberoptic bronchoscope. The primary objective was to assess the time taken for intubation. The secondary objectives were to assess the rate of complications in the form of bleeding, cough, desaturation during the procedure, laryngospasm, and nasal bleeding. RESULT: The time taken for intubation was 6.15 ± 3.0 minutes in CFBI group and 3.10 ± 1.35 minutes in SNPA group and this this difference was statically significant with P value <0.001. Desaturation during the procedure was more in CFBI (99.46 ± 0.75) compared to SNPA (99 ± 0) group with significant difference P value <0.001. CONCLUSION: Split nasopharyngeal airway was used as conduit for the passage for the flexible fibreoptic bronchoscope and it considerably reduced the time required for fiberoptic nasotracheal intubation compared to the conventional technique of endotracheal tube first approach. Split nasopharyngeal airway provided better intubating conditions with lesser complications and superior patient comfort.
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spelling pubmed-102357472023-06-03 An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT Meena, Kavita Meena, Rajesh Kumar Palanisamy, Deepak Deepesh, Nayak, Aditya Prakash Natl J Maxillofac Surg Original Article BACKGROUND: Awake nasotracheal fiberoptic intubation by conventional technique is time consuming and requires expertise. Complications encountered in the conventional technique sometime leads to procedure failure. OBJECTIVE: The primary aim of this study was to compare the innovative technique using split nasopharyngeal airway (SNPA) with the conventional technique for nasotracheal fiberoptic intubation in terms of time taken for intubation. METHOD: This was a prospective, randomized, and single blind study conducted with 80 patients who were scheduled for maxillofacial surgery. Patients were randomized into two groups, group CFBI (conventional fiberoptic intubation) and group SNPA (split nasopharyngeal airway). In both the groups patients were prepared for awake fiberoptic naso-tracheal intubation. In Group CFBI (N = 41) awake naso-tracheal intubation was achieved by conventional technique of bronchoscope first approach. In Group SNPA (N = 39) spirally split nasopharyngeal airway was used first as a conduit for the passage of fiberoptic bronchoscope. The primary objective was to assess the time taken for intubation. The secondary objectives were to assess the rate of complications in the form of bleeding, cough, desaturation during the procedure, laryngospasm, and nasal bleeding. RESULT: The time taken for intubation was 6.15 ± 3.0 minutes in CFBI group and 3.10 ± 1.35 minutes in SNPA group and this this difference was statically significant with P value <0.001. Desaturation during the procedure was more in CFBI (99.46 ± 0.75) compared to SNPA (99 ± 0) group with significant difference P value <0.001. CONCLUSION: Split nasopharyngeal airway was used as conduit for the passage for the flexible fibreoptic bronchoscope and it considerably reduced the time required for fiberoptic nasotracheal intubation compared to the conventional technique of endotracheal tube first approach. Split nasopharyngeal airway provided better intubating conditions with lesser complications and superior patient comfort. Wolters Kluwer - Medknow 2023 2023-04-14 /pmc/articles/PMC10235747/ /pubmed/37273437 http://dx.doi.org/10.4103/njms.njms_120_22 Text en Copyright: © 2023 National Journal of Maxillofacial Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Meena, Kavita
Meena, Rajesh Kumar
Palanisamy, Deepak
Deepesh,
Nayak, Aditya Prakash
An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title_full An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title_fullStr An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title_full_unstemmed An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title_short An innovative technique for nasotracheal fiberoptic intubation using SNPA and its comparison with conventional technique: RCT
title_sort innovative technique for nasotracheal fiberoptic intubation using snpa and its comparison with conventional technique: rct
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10235747/
https://www.ncbi.nlm.nih.gov/pubmed/37273437
http://dx.doi.org/10.4103/njms.njms_120_22
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