Comparing Cuff Inflation-Deflation and Magill Forceps Techniques for Nasal Intubation in Adults Undergoing Elective Dental or Maxillofacial Surgery

What this Trial Is About

Researchers are comparing two methods for nasal intubation in adults undergoing elective dental or maxillofacial surgery. The trial aims to determine if the cuff inflation-deflation technique reduces the time needed for nasal intubation compared to the conventional method using Magill forceps. The study also evaluates if this new method results in fewer side effects such as cuff perforation and mucosal injury. The study involves two groups one group receives nasal intubation using the cuff inflation-deflation method, where the tracheal tube cuff is inflated with 15-20 ml of air and then deflated as the tube is advanced into the trachea. The other group undergoes intubation with the traditional Magill forceps technique, guiding the tube tip through the pharynx into the trachea. Both procedures use video-assisted laryngoscopy and are performed by experienced anesthetists. Participants are randomly assigned to each group with concealed allocation. Participants will be monitored during the nasal intubation procedure to record the time taken for the second phase of intubation and to assess side effects, oxygenation status, and need for additional maneuvers. The study also evaluates the number of attempts required, the amount of air used for cuff inflation, and the anesthetists experience post-procedure. Data on surgery type, duration, and patient physical status are collected. The trial is observer-blinded and includes 90 adult patients aged 21 years and older, with follow-up assessments shortly after recovery.

Tracheal Tube Cuff Inflation-Deflation Method for Video Assisted Laryngoscope Nasal Intubation in Adults