Comparing Patient Comfort and Experience During Awake Tracheal Intubation Using Flexible Bronchoscopy Through the Mouth or Nose

What this Trial Is About

Researchers are evaluating two different methods of awake tracheal intubation using flexible bronchoscopy, a procedure to manage difficult airways during anesthesia, intensive care, and emergency medicine. This observational study aims to compare patient comfort and operator-focused outcomes between the transnasal and transoral routes, focusing on patient discomfort during the procedure. Awake tracheal intubation with flexible bronchoscopy is considered the gold standard for managing difficult airways, but there is limited information on patient experience with these two approaches. Participants undergo airway management either through the nose transnasal or mouth transoral using flexible bronchoscopy while maintaining spontaneous breathing. The study observes and compares outcomes related to patient discomfort and other factors during and after the procedure without assigning treatments. These two groups represent the different methods being assessed. During the study, patients will report their discomfort, pain, fear, feelings of suffocation, coughing, throat dryness, hoarseness, sleep problems, and nightmares within 24 hours after the procedure. Additional clinical measures such as success rates, number of attempts, oxygen levels, airway complications, and sedation difficulty will be recorded within one hour of the procedure. Participants preoperative expectations and fears are also assessed. The study involves monitoring these outcomes to better understand patient experience and procedural success.

Patient Experience of Transoral Versus Transnasal Awake Tracheal Intubation