"Neutral Head Position" and "Head-lift Position" for Orotracheal Intubation With "Trachway" Intubating Stylet in Adults

Launched by TRI-SERVICE GENERAL HOSPITAL · Oct 16, 2015

Keywords

ClinConnect Summary

The sniffing position has traditionally been considered the optimal head position for direct laryngoscopy, However, it may aggravate cervical spine injury. The Trachway® video stylet is an intubating device that may avoid cervical movement during intubation. Nonetheless, the effectiveness of limited neck movement in patients with neutral head or head-lift position using the Trachway® video stylet remains unclear. The purpose of this study was to compare the intubation time of the two positions with the Trachway® video stylet.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • patients scheduled for various surgeries requiring general anesthesia with tracheal intubation
• • American Society of Anesthesiologists(ASA) physical status classification I-III
• Exclusion Criteria:
• • pneumothorax
• • room air saturation by pulse oximeter saturation less than 96%
• • vocal cord palsy
• • craniofacial anomaly
• • congenital upper airway anomaly
• • upper airway disease
• • cervical spine pathology
• • head and neck tumor status post radiotherapy
• • an increased risk of regurgitation or pulmonary aspiration
• • a history of difficult tracheal intubation