Easy pediatric nasal intubation Abstract: Background: Pediatric anesthesiologists use Magill forceps commonly during nasotracheal intubation but often have difficultly during advancing the nasotracheal tube into the trachea, differences in pediatric airway structure relative to adults are thought to be the reason of this problem. The modified pediatric Magill forceps (modified by Farrukh and his colleagues) added anteroposterior firm grasping of the nasotracheal tube enables us for elevation and downward rotation of the nasotracheal tube which makes the tube in line with the axis of the trachea facilitating its passage into the trachea. Objectives: Evaluation of the value of modified pediatric Magill forceps in facilitating
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Also, group (A) showed statistical significant decrease in number of intubation attempts in comparison to group (B) denoting easier nasal intubation attempts in group (A). Patients in group (A) showed decrease in number of patients developed hypoxia during intubation attempts in comparison to Group (B). There were no statistically significant differences between both groups regarding pharyngeal trauma. Group (A) showed decrease of numbers of need to do corkscrewing in comparison to Group (B), and the difference between the two groups was statistically …show more content…
Patients and methods
The study was conducted at ENT operating room of Ain Shams University hospitals during a period of 6 months. The study protocol was approved by "research and ethics committee" of anesthesia and intensive care department, Ain Shams University. Informative consent was obtained from the parents before enrolling in the study.
100 Patients were enrolled in the study (divided into two groups 50 patients in each), with a range of age between 2 and 6 years old. All patients were with American society of anesthesiology (ASA) physical status of 1 or 2 and were undergoing tonsillectomy operations.
Group A :
Fifty patients for whom modified pediatric Magill forceps was used to assist nasotracheal intubation.
Group B :
Fifty patients for whom Magill forceps was used to assist nasotracheal intubation.
Exclusion criteria for the study included: Parentral refusal to consent (absolute contraindication), patients with aspiration risk, known upper airway abnormalities, and those having difficult airway were
Also, group (A) showed statistical significant decrease in number of intubation attempts in comparison to group (B) denoting easier nasal intubation attempts in group (A). Patients in group (A) showed decrease in number of patients developed hypoxia during intubation attempts in comparison to Group (B). There were no statistically significant differences between both groups regarding pharyngeal trauma. Group (A) showed decrease of numbers of need to do corkscrewing in comparison to Group (B), and the difference between the two groups was statistically …show more content…
Patients and methods
The study was conducted at ENT operating room of Ain Shams University hospitals during a period of 6 months. The study protocol was approved by "research and ethics committee" of anesthesia and intensive care department, Ain Shams University. Informative consent was obtained from the parents before enrolling in the study.
100 Patients were enrolled in the study (divided into two groups 50 patients in each), with a range of age between 2 and 6 years old. All patients were with American society of anesthesiology (ASA) physical status of 1 or 2 and were undergoing tonsillectomy operations.
Group A :
Fifty patients for whom modified pediatric Magill forceps was used to assist nasotracheal intubation.
Group B :
Fifty patients for whom Magill forceps was used to assist nasotracheal intubation.
Exclusion criteria for the study included: Parentral refusal to consent (absolute contraindication), patients with aspiration risk, known upper airway abnormalities, and those having difficult airway were