Pediatric anesthesia & critical care
J‐Shaped Guidewire‐Assisted Nasotracheal Intubation in the Dental Treatment of Children—A Retrospective, Observational Study
Authors' conclusion
The J-shaped stainless-steel guidewire is a suitable and economic auxiliary tool to assist NTI for outpatient dental procedures in children.
Study context
- Population
- Children undergoing dental treatment under GA with nasotracheal intubation, January 2016-December 2023
- Participants
- 692 children
- Outcome
- Bullseye probability (ETT directly aligning with the glottis after glottic exposure)
Main finding
As reported in the abstract
Bullseye probability (ETT directly aligned with glottis after glottic exposure)
Bullseye probability
49.4%
Observational data: associations, not effects.
Further findings
Position of endotracheal tube (ETT) tip relative to glottis
- ETT tip toward tongue base
- 11.3%
- ETT tip toward esophageal entrance
- 1.9%
- ETT tip at same horizontal plane as glottis
- 86.8%
Additional assistance required to advance tube smoothly
- Cases requiring additional assistance
- 48.4%
Total intubation time and overall success
- Total intubation time, s (Q1-Q3, 54.3-72.3)
- 63.1
- Overall success rate
- 100%
Safety
- Incidence of severe lip and mucosal trauma
- 0.7%
Original publication
J‐Shaped Guidewire‐Assisted Nasotracheal Intubation in the Dental Treatment of Children—A Retrospective, Observational Study. Paediatr Anaesth. Published 17 December 2025. doi:10.
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