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Nasal laryngoscopy

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1. Pretreatment to Reduce Pain and Discomfort During Fiberoptic Nasal Pharyngoscopy and Laryngoscopy

Pretreatment to Reduce Pain and Discomfort During Fiberoptic Nasal Pharyngoscopy and Laryngoscopy Pretreatment to Reduce Pain and Discomfort During Fiberoptic Nasal Pharyngoscopy and Laryngoscopy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove (...) one or more studies before adding more. Pretreatment to Reduce Pain and Discomfort During Fiberoptic Nasal Pharyngoscopy and Laryngoscopy The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03620513 Recruitment Status

2018 Clinical Trials

2. Video vs. Direct Laryngoscopy in Pediatric Nasal Intubation

Video vs. Direct Laryngoscopy in Pediatric Nasal Intubation Video vs. Direct Laryngoscopy in Pediatric Nasal Intubation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Video vs. Direct Laryngoscopy (...) exposure of the oral cavity and mandible. The nasal RAE ETT can be placed in the trachea using either direct laryngoscopy (DL) or video laryngoscopy (C-Mac) . Sometimes this is possible without an adjuvant, but frequently a pair of specially shaped forceps, known as Magill forceps, is required to guide the distal tip of the Nasal RAE into the glottis due to the curvature of these ETT. Magill forceps are introduced into the mouth and are used to grasp the distal end of the Nasal RAE and direct

2017 Clinical Trials

3. Nasal Intubation Using King Vision Video Laryngoscopy

Nasal Intubation Using King Vision Video Laryngoscopy Nasal Intubation Using King Vision Video Laryngoscopy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Nasal Intubation Using King Vision Video (...) ) Primary Purpose: Treatment Official Title: Comparison King Vision Video Laryngoscopy 、McGrath MAC Video Laryngoscopy With Macintosh Laryngoscopy for Nasal Intubation Actual Study Start Date : June 1, 2017 Actual Primary Completion Date : January 1, 2018 Actual Study Completion Date : January 5, 2018 Arms and Interventions Go to Arm Intervention/treatment Experimental: King Vision video laryngoscope Device: King Vision video laryngoscope nasal intubation using King Vision video laryngoscope Device

2017 Clinical Trials

4. Nasal laryngoscopy

Nasal laryngoscopy Nasal laryngoscopy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nasal laryngoscopy Nasal laryngoscopy Aka: Nasal (...) laryngoscopy , Laryngeal Exam , Nasopharyngoscopy , Rhinolaryngoscopy , Nasolaryngoscopy , Nasolaryngoscope , Laryngeal Lesion , Vocal Fold Lesion II. Indications evaluation Persistent beyond 2 weeks Higher risk for abuse Associated symptoms Laryngeal pain Aspiration Chronic Problems Recurrent Chronic Chronic nasal obstruction Acute Problems Suspected III. Complications Laryngospasm (if scope were to touch ) IV. Preparation Patient gently blows nose Mix with or (0.25% to 2%) 2 to 4% (4% preferred) Atomize

2018 FP Notebook

5. Video Laryngoscopy Versus Direct Laryngoscopy for Nasotracheal Intubation

-regulated Device Product: No Keywords provided by Brett King, Louisiana State University Health Sciences Center in New Orleans: Video laryngoscopy Nasal intubation (...) Video Laryngoscopy Versus Direct Laryngoscopy for Nasotracheal Intubation Video Laryngoscopy Versus Direct Laryngoscopy for Nasotracheal Intubation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Video

2018 Clinical Trials

6. Apneic Oxygenation during simulated prolonged difficult laryngoscopy: Comparison of nasal prongs versus nasopharyngeal catheter: A prospective randomized controlled study. (PubMed)

Apneic Oxygenation during simulated prolonged difficult laryngoscopy: Comparison of nasal prongs versus nasopharyngeal catheter: A prospective randomized controlled study. Apneic oxygenation by insufflating O2 through nasal prongs (NP) and nasopharyngeal catheter (NC) has been proven to be effective. We conducted this study to compare the relative efficacy of these two techniques in a simulated difficult airway situation.The objective of this study is to evaluate the influence of two techniques (...) ventilate was checked and paralyzed with rocuronium. Apneic oxygenation using 5 L/min of O2 was established either by NP or NC. After laryngoscopy the laryngoscope was withdrawn to simulate a Grade 4 laryngoscopy and held in this position for an apnea time (T1) of 10 min with SpO2 maintained at ≥95% or until SpO2 dropped to < 95%, whichever is earlier. An arterial blood gas analysis was performed at the end of T1. Desaturation to < 95% were compared between the groups using Chi-square test (P < 0.05

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2015 Anesthesia, essays and researches

7. High Flow Oxygen in Patients Undergoing Suspension Laryngoscopy Under General Anesthesia

complications. No consensus exists regarding the best airway management technique for this intervention. The aim of the study is to investigate a new device that delivers oxygen at very high flow through a nasal cannula in patients undergoing suspension laryngoscopy under general anaesthesia. This technique allows the surgeon to have a perfect visualisation of the laryngeal structures while allowing the delivery of oxygen for the lungs. After informed consent, adult patients undergoing suspension (...) fails. The safety of the device will also be assessed by analysing the blood samples for signs of carbon dioxide accumulation and by collecting any intra or post-operative complications. If the device shows to be effective at maintaining blood oxygenation without significant associated risks, it could be used for other surgical situations where airway management is expected to be difficult. Condition or disease Intervention/treatment Phase Laryngoscopy Apnea Anesthesia Device: Nasal High Flow Oxygen

2018 Clinical Trials

8. A Randomized Trial Comparing the Effect of Fiberoptic Selection and Guidance Versus Random Selection, Blind Insertion, and Direct Laryngoscopy, on the Incidence and Severity of Epistaxis After Nasotracheal Intubation. (PubMed)

A Randomized Trial Comparing the Effect of Fiberoptic Selection and Guidance Versus Random Selection, Blind Insertion, and Direct Laryngoscopy, on the Incidence and Severity of Epistaxis After Nasotracheal Intubation. Epistaxis, or nasal bleeding, is a common complication after nasotracheal intubation (NTI). Because such bleeding is likely related to trauma during intubation, use of fiberoptic visualization and guidance rather than direct laryngoscopy may affect the incidence and severity (...) of epistaxis. We compared the incidence of epistaxis after NTI using a fiberoptic versus a direct laryngoscopy approach.Seventy patients who were able to breathe easily through unobstructed nostrils and required NTI as part of their anesthetic management were recruited. Exclusion criteria included unequal nasal airflow, nostril obstruction, previous nasal trauma or surgery, and coagulation abnormalities as determined by history. Patients were randomly assigned to undergo NTI with thermosoftened

2018 Anesthesia and Analgesia

9. Comparison of Tolerance and Cost-Effectiveness of Two Nasal Anesthesia Techniques for Transnasal Flexible Laryngoscopy. (PubMed)

Comparison of Tolerance and Cost-Effectiveness of Two Nasal Anesthesia Techniques for Transnasal Flexible Laryngoscopy. (1) Compare tolerance of aerosolized spray versus syringe administration of topical anesthesia for transnasal flexible laryngoscopy (TFL), (2) analyze cost-effectiveness of both techniques.Prospective, blinded, randomized trial.Tertiary academic laryngology practice.One hundred and eight patients underwent TFL over 3 months. Patients were randomized to receive equivalent dose (...) 1:1 neosynephrine/4% plain lidocaine mixture via aerosolized spray ("spray") or application with 1-cc syringe ("syringe"). Patients and physicians independently rated comfort of TFL on 5-point scale (1 = not at all comfortable to 5 = very comfortable). Data were collected on patient and endoscopist experience with TFL and reasons for poor tolerance of laryngoscopy. Cost analyses of disposable spray tips and syringes were calculated.Both patients and physicians reported very high tolerance of TFL

2014 Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

10. Video Laryngoscopy in Newborn Babies V1

Video Laryngoscopy in Newborn Babies V1 Video Laryngoscopy in Newborn Babies V1 - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Video Laryngoscopy in Newborn Babies V1 The safety and scientific validity (...) result in more successful intubations and greater confidence in the supervisor and the team that a successful intubation has been performed. The aim is to recruit 40 babies and randomly allocate the participant to either direct laryngoscopy or video laryngoscopy for elective intubations. Number of attempts to successful intubation would be recorded, in addition to confidence of supervisor and the team regarding the outcome of the attempt. Study Design Go to Layout table for study information Study

2017 Clinical Trials

11. Distraction Technique to Reduce Discomfort of Transnasal Fiberoptic Laryngoscopy

Lincolnshire Hospitals NHS Trust ClinicalTrials.gov Identifier: Other Study ID Numbers: 280217ArshadFaisal First Posted: June 19, 2017 Last Update Posted: June 19, 2017 Last Verified: June 2017 Individual Participant Data (IPD) Sharing Statement: Plan to Share IPD: No Layout table for additional information Studies a U.S. FDA-regulated Drug Product: No Studies a U.S. FDA-regulated Device Product: No Keywords provided by United Lincolnshire Hospitals NHS Trust: pain during laryngoscopy, Flexible nasal (...) Distraction Technique to Reduce Discomfort of Transnasal Fiberoptic Laryngoscopy Distraction Technique to Reduce Discomfort of Transnasal Fiberoptic Laryngoscopy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding

2017 Clinical Trials

12. Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy (PubMed)

Comparison of Intubating Conditions using Fentanyl plus Propofol Versus Fentanyl plus Midazolam during Fiberoptic Laryngoscopy Awake nasal or oral flexible fiberoptic intubation is the airway management technique of choice in known or anticipated difficult airway, unstable cervical fracture, limited mouth opening (as in temporomandibular joint disease), mandibular-maxillary fixation and severe facial burns. Both optimal intubating condition and patient comfort are important for fiberoptic

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2017 Journal of clinical and diagnostic research : JCDR

13. Use of a Low-fidelity simulator to improve trans-nasal fibre-optic flexible laryngoscopy in the clinical setting: a randomized, single-blinded, prospective study. (PubMed)

Use of a Low-fidelity simulator to improve trans-nasal fibre-optic flexible laryngoscopy in the clinical setting: a randomized, single-blinded, prospective study. Trans-nasal flexible fibre-optic laryngoscopy (TFFL) is an essential skill for otolaryngologists. There is evidence to suggest that simulators help residents acquire procedural skills. The objective of this study was to examine the effect of simulation on endoscopy skill acquistion.A randomized controlled trial was conducted utilizing

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2013 Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale

14. Nasal high-flow preoxygenation for endotracheal intubation in the critically ill patient: a randomized clinical trial. (PubMed)

Nasal high-flow preoxygenation for endotracheal intubation in the critically ill patient: a randomized clinical trial. Preoxygenation with high-flow therapy by nasal cannulae (HFNC) is now widespread in the intensive care unit (ICU). However, no large randomized study has assessed its relevance in non-severely hypoxemic patients. In a randomized controlled trial (PROTRACH study), we aimed to evaluate preoxygenation with HFNC vs. standard bag-valve mask oxygenation (SMO) in non-severely (...) hypoxemic patients during rapid sequence intubation (RSI) in the ICU.Randomized controlled trial including non-severely hypoxemic patients requiring intubation in the ICU. Patients received preoxygenation by HFNC or SMO during RSI. HFNC was maintained throughout the intubation procedure whereas SMO was removed to perform laryngoscopy. The primary outcome was the lowest pulse oximetry (SpO2) throughout the intubation procedure. Secondary outcomes included drop in SpO2, adverse events related

2019 Intensive Care Medicine

15. Nasal laryngoscopy

Nasal laryngoscopy Nasal laryngoscopy Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Nasal laryngoscopy Nasal laryngoscopy Aka: Nasal (...) laryngoscopy , Laryngeal Exam , Nasopharyngoscopy , Rhinolaryngoscopy , Nasolaryngoscopy , Nasolaryngoscope , Laryngeal Lesion , Vocal Fold Lesion II. Indications evaluation Persistent beyond 2 weeks Higher risk for abuse Associated symptoms Laryngeal pain Aspiration Chronic Problems Recurrent Chronic Chronic nasal obstruction Acute Problems Suspected III. Complications Laryngospasm (if scope were to touch ) IV. Preparation Patient gently blows nose Mix with or (0.25% to 2%) 2 to 4% (4% preferred) Atomize

2015 FP Notebook

16. Positive Airway Pressure Under Apnoeic Oxygenation With Different Flow Rates in Nasal Cannula Therapy

Positive Airway Pressure Under Apnoeic Oxygenation With Different Flow Rates in Nasal Cannula Therapy Positive Airway Pressure Under Apnoeic Oxygenation With Different Flow Rates in Nasal Cannula Therapy - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please (...) remove one or more studies before adding more. Positive Airway Pressure Under Apnoeic Oxygenation With Different Flow Rates in Nasal Cannula Therapy (PAPUA-Flow) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03738722

2018 Clinical Trials

17. Comparison of Nasal Intubations by GlideScope With and Without a Bougie Guide in Patients Who Underwent Maxillofacial Surgeries: Randomized Clinical Trial. (PubMed)

Comparison of Nasal Intubations by GlideScope With and Without a Bougie Guide in Patients Who Underwent Maxillofacial Surgeries: Randomized Clinical Trial. Nasotracheal intubation is commonly performed to provide a secure airway for the maintenance of general anesthesia in maxillofacial surgeries. Routine nasotracheal intubation is performed under general anesthesia by direct laryngoscopy, frequently with the aid of Magill forceps. This method can be time-consuming and may cause bleeding (...) and armored tube were used. In the GEB group, GEB was used to facilitate nasal intubation while the nasal intubation was performed without the aid of GEB in the routine group. The difficult intubation (defined as >1 attempt for intubation) was the primary outcome, and the duration of the intubation, the presence of traces of bleeding, the need for a tube replacement, and the usage of Magill forceps were the secondary outcomes.The incidence of bleeding in the GEB group was 1.81% vs 43.63% in the routine

2018 Anesthesia and Analgesia

18. Physiology Regarding Apnoeic Oxygenation During Nasal Cannula Therapy at Different Flow Rates

Physiology Regarding Apnoeic Oxygenation During Nasal Cannula Therapy at Different Flow Rates Physiology Regarding Apnoeic Oxygenation During Nasal Cannula Therapy at Different Flow Rates - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one (...) or more studies before adding more. Physiology Regarding Apnoeic Oxygenation During Nasal Cannula Therapy at Different Flow Rates (PHARAO) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03478774 Recruitment Status

2018 Clinical Trials

19. Apneic Oxygenation With a Nasal Cannula in the Obese and Morbidly Obese Surgical Patient

endotracheal anesthesia at Parkland Hospital. Patients will be randomized to receive either 15 L/min O2 or 15 L/min air from a standard nasal cannula during a simulated prolonged laryngoscopy. The anesthesia provider will do a direct laryngoscopy to ensure that the patient has a Cormack-Lehane grade I-II airway. Patients who have grade III-IV airways will be excluded from further study procedures and not analyzed. The rest of the anesthetic will not deviate from the standard of care. Anesthesia providers (...) with 15 L/min air and a nasopharyngeal airway Other: Air 15 L/min air Outcome Measures Go to Primary Outcome Measures : Apneic Time [ Time Frame: Intraoperative ] To determine whether apneic oxygenation via nasal cannula oxygen results in a longer period of apnea (SpO2 ≥ 95%) during a simulated prolonged laryngoscopy in obese and morbidly obese patients. Secondary Outcome Measures : Resaturation Time [ Time Frame: Intraoperative ] To determine the influence of apneic oxygenation via nasal cannula

2018 Clinical Trials

20. High-flow nasal cannula oxygen therapy in patients undergoing thoracic surgery: current evidence and practice. (PubMed)

High-flow nasal cannula oxygen therapy in patients undergoing thoracic surgery: current evidence and practice. Patients undergoing thoracic surgery are at high risk for pulmonary and extra pulmonary complications, and may develop impairment of gas exchange during surgery and in the postoperative period. This review focuses on the potential benefits of high-flow nasal cannula (HFNC) oxygen therapy in those patients.HFNC oxygen therapy can be used pre, intra and postoperatively. However, evidence (...) for the use of HFNC oxygen therapy is still limited. Most trials investigated the effects of HFNC oxygen therapy in the postoperative period only, with promising beneficial effects. Preoperative HFNC oxygen therapy might be an alternative to conventional techniques, and allows continuous oxygenation during the apneic time of laryngoscopy. In certain patients, thoracic surgery might be performed in awake and nonintubated patients who are breathing spontaneously. Under these conditions, HFNC oxygen therapy

2018 Current Opinion in Anaesthesiology

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