Airway management

A randomized comparison of three intubation techniques/tube materials for nasotracheal intubation

Can J AnaesthPublished Randomised controlled trial

Primary result · First-attempt success rate of tube advancement into the oral cavityResult — go to the resultOR for first-attempt success 6.5 95% CI 2.2–19.2

Authors' conclusion

Among the three intubation techniques/tube materials for nasotracheal intubation, the velvet-soft PVC tube provided the highest first-attempt success rate, most expeditious advancement into the oral cavity, and lowest incidence of epistaxis.

Study context

Population
Adults scheduled for elective surgery requiring nasotracheal intubation for GA
Participants
149 adults
Comparison
V vs P
Primary endpoint
First-attempt success rate of tube advancement into the oral cavity

Primary result

As reported in the abstract

OR for first-attempt success

6.5

95% CI 2.2–19.2

By group

V vs P
OR for first-attempt success 6.5 (95% CI 2.2–19.2)

Secondary outcomes

Time required for tube advancement into the oral cavity — V vs PR · significantly shorter in V

(95% CI 17–30)

OutcomeEstimate
Time required for tube advancement into the oral cavityV vs P · significantly shorter in V(95% CI 3–16)

Total intubation time

Longest in PR

Safety

Epistaxis

Least in V

Original publication

A randomized comparison of three intubation techniques/tube materials for nasotracheal intubation. Can J Anaesth. Published 28 March 2024. doi:10.1007/s12630-024-02743-z

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