NCT05525754

Computed Tomography-Guided Nasotracheal Intubation Procedure

Completed Last updated 2 September 2022

What this trial tests

trial testing computed tomography-guided nasotracheal intubation in Computed Tomography-guided Nasotracheal Intubation in 60 participants. Completed in 1 January 2022.

Timeline

1 January 2019

Primary endpoint
1 January 2021

1 January 2022

Quick facts

Lead sponsor	TC Erciyes University
Status	Completed
Study type	OBSERVATIONAL
Enrollment	60
Start date	1 January 2019
Primary completion	1 January 2021
Estimated completion	1 January 2022
Sites	1 location across Turkey (Türkiye)

Drugs / interventions tested

• computed tomography-guided nasotracheal intubation

Conditions studied

• Computed Tomography-guided Nasotracheal Intubation — all drugs for Computed Tomography-guided Nasotracheal Intubation →
• The Space Where the Tube Will be Passed in the Internal Nasal Valve Region — all drugs for The Space Where the Tube Will be Passed in the Internal Nasal Valve Region →

Sponsor

TC Erciyes University

Who can join

Adults 18 to 65, any sex, with Computed Tomography-guided Nasotracheal Intubation or The Space Where the Tube Will be Passed in the Internal Nasal Valve Region. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Nasotracheal intubation can lead to severe complications like epistaxis with excessive bleeding. The advancement difficulty of the tube faced during nasal intubation is one of the fundamental causes of this condition. The present study aimed to evaluate the effectiveness of Computed tomography-guided nasotracheal intubation in predicting tube advancement difficulty and preventing epistaxis.

Material and Methods: 60 maxillofacial surgery patients were included in the study. The space where the tube will be passed in the internal nasal valve region was measured horizontally (distance between inferior concha and septum) and vertically (distance between inferior concha and hard palate) by Computed Tomography. The patients were divided into two groups, 'easy' (n=28) or 'difficult' (n=32), according to the effort required to advance the tube through the nasal passage.

ROC analysis was performed, and cut-off values were determined to reveal the distance values at which difficulty may be experienced while advancing the tube. The cut-off values were 1.09 cm and 0.39 cm for the vertically and horizontally distances, respectively.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

1. Effectiveness Of Computed Tomography-Guided Nasotracheal Intubation Procedure On Predicting Tube Advancement Difficulty And Preventing Epistaxis: A Prospective Case-Control Study.
   Yasli SO, Canpolat DG, Baydan E, Demirbas AE. · · 2023 · cited 3× · PMID 37876056 · DOI 10.47391/jpma.8034