Document Detail

Lightwand-guided nasotracheal intubation in oromaxillofacial surgery patients with anticipated difficult airways: a comparison with blind nasal intubation.
MedLine Citation:
PMID:  23712007     Owner:  NLM     Status:  MEDLINE    
In oromaxillofacial surgery patients, the incidence of difficult airways is up to 15.4-16.9%. Blind nasal intubation remains a safe technique for difficult airway management in some remote areas where a fibreoptic bronchoscope is not always available. The lightwand is an easy-to-use, highly economical device, and can facilitate endotracheal intubation through illumination in the neck. The study aims to evaluate the efficacy of nasotracheal intubation using lightwand in oromaxillofacial surgery patients with difficult airways. One hundred and sixteen patients with difficult airways requiring nasotracheal intubation were randomly divided into a lightwand group and a blind group, with 58 cases in each group. The first attempt and overall success rates of lightwand intubation were 84.5% and 93.1%, respectively, which were higher than those of blind intubation (65.5% and 75.9%, respectively; P<0.05). The total intubation time was 91.4±27.7s in the lightwand group and 130.7±33.4s in the blind group (P<0.001). Patients in the lightwand group also experienced more stable haemodynamic responses and less pharyngalgia. In conclusion, lightwand-guided nasotracheal intubation is superior to blind intubation in patients with difficult airways, with a higher success rate, more stable haemodynamic responses, and fewer postoperative complications.
Y Dong; G Li; W Wu; R Su; Y Shao
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2013-05-25
Journal Detail:
Title:  International journal of oral and maxillofacial surgery     Volume:  42     ISSN:  1399-0020     ISO Abbreviation:  Int J Oral Maxillofac Surg     Publication Date:  2013 Sep 
Date Detail:
Created Date:  2013-08-12     Completed Date:  2014-03-26     Revised Date:  2014-05-08    
Medline Journal Info:
Nlm Unique ID:  8605826     Medline TA:  Int J Oral Maxillofac Surg     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  1049-53     Citation Subset:  D; IM    
Copyright Information:
Copyright © 2013 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
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MeSH Terms
Airway Management / instrumentation
Arterial Pressure / physiology
Epistaxis / etiology
Equipment Design
Heart Rate / physiology
Hoarseness / etiology
Intubation, Intratracheal / instrumentation*,  methods
Middle Aged
Optical Fibers
Oral Surgical Procedures / instrumentation*
Oxygen / blood
Pain, Postoperative / etiology
Pharynx / pathology
Postoperative Complications
Time Factors
Transillumination / instrumentation*
Young Adult
Reg. No./Substance:
Comment In:
Int J Oral Maxillofac Surg. 2014 May;43(5):665   [PMID:  24560798 ]
Int J Oral Maxillofac Surg. 2014 May;43(5):664-5   [PMID:  24530036 ]

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