Comparative Study of Conventional Versus Nasal-18 Method for Fiberoptic Nasal Intubation
Journal Title: Indian Journal of Anesthesia and Analgesia - Year 2018, Vol 5, Issue 7
Abstract
Background: Fiberoptic nasal intubation (FONI) is an effective technique for establishing airway access in patients with both anticipated and unanticipated difficult airways. Utilization of fiberscope without the use of any facilitating techniques has proven to be a difficult task. In this study we compare conventional versus Nasal- 18 method for fiberoptic nasal intubation. Aims and Objectives: To compare time for successful FONI in both the groups. To see procedure related adverse effects. Method: A randomized controlled trial was carried out at our hospital. Fifty patients aged 20-60 years with American Society of Anesthesiologist (ASA) class I and II undergoing elective surgery under general anesthesia were allocated to two groups of fiber optic nasal intubation using either the Nasal -18 technique or the conventional method. In the Nasal- 18 group, a nasal tube was gently inserted into the nasopharynx till mark 18, then a fiberscope was glided over it and advanced through the nasal cavity till the glottis could be visualized. Finally the nasal tube was rolled over the fiberscope. Time from the start of insertion of fiberscope into nares till visualization of vocal cord (T1) and from visualization of vocal cord to complete intubation (T2) was recorded. Result: T1 values in nasal 18 and conventional group were 33.16±7.96 and 56.76±17.08 seconds respectively [p < 0.05]. T2 duration were 35.16±9.83 and 31.20±6.89 seconds in nasal 18 and conventional group respectively [p = 0.10]. Conclusion: Nasasl- 18 method significantly reduces the time to visualize the glottis compare to conventional technique for FONI. This method should be added as a preferred technique to facilitate FONI.
Authors and Affiliations
Asmita Chaudhary
Keywords
Related Articles
- EP ID EP533788
- DOI 10.21088/ijaa.2349.8471.5718.6
- Views 88
- Downloads 0
Evaluation of Low Dose Bupivacaine with Clonidine for Unilateral Spinal Anesthesia in Lower Limb Surgeries
Introduction: Unilateral spinal anaesthesia has been extensively studied for short duration elective lower limb surgeries with favorable results i.e when block is desired on operative side only with absence of block on n...
Hyomental Distance in Neutral and Extension as a Clinically Reliable Predictor of Difficult Airway
Aims: This study was been done with a purpose to evaluating the benifit of the Hyomental Distance [Hmd] neutral and extended position for predicting accurately difficult visualization of the larynx (DVL) in normal lookin...
Comparative Study of Rectal Tramadol versus Diclofenac in Post Cesarean Section Pain Management
Context: Post Cesarean section substantial postoperative discomfort and pain can be anticipated. Pain inadequately relieved is deleterious and lead to number of complications in the postoperative period.The analgesic reg...
A Comparative Study of Intrathecal Levobupivacaine and Levobupivacaine with Midazolam in Lower Abdominal and Lower limb Surgeries
Context: Intrathecal midazolam as an adjuvant to levobupivacaine provides excellent intraoperative hemodynamic stability and also good postoperative analgesia. Present study was done to evaluate the efficacy, duration of...
A Randomised Prospective Double Blinded Study of Intrathecal Levobupivacaine with Fentanyl Verses Clonidine for Infraumblical Surgeries
Background and aims: Subarachnoid block can be performed with many local anaesthetic agents. Besides hyperbaric bupivacaine even isobaric levobupivacaine and ropivacaine can also be used with minimal cardiotoxicity. Adju...