Appropriate Head Position for Nasotracheal Intubation by Using Lightwand DeviceYozo Manabe1*, Shigeru Iwamoto2, Mika Seto3 and Kazuna Sugiyama4
- Corresponding Author:
- Yozo Manabe
Department of Systemic Management for Dentistry
Kagoshima University Medical and Dental Hospital
Kagoshima, 8-35-1, Sakuragaoka
Kagoshima 890-8544, Japan
Tel: +81- (0) 99-275-6561
Fax: +81- (0) 99-275-6288
E-mail: [email protected]
Received Date: December 12, 2013; Accepted Date: January 20, 2014; Published Date: January 22, 2014
Citation: Manabe Y, Iwamoto S, Seto M, Sugiyama K (2014) Appropriate Head Position for Nasotracheal Intubation by Using Lightwand Device. J Interdiscipl Med Dent Sci 2:109. doi: 10.4172/2376-032X.1000109
Copyright: © 2014 Manabe Y, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: The purpose of this study was to determine the relationship between the head position and the subsequent ease of nasotracheal intubation by using lightwand device TrachlightTM (TL).
Methods: Patients requiring nasotracheal intubation were subdivided into three groups according to the intubated head position (Group S: sniffing position, Group E: extension position, Group N: neutral position). The number of attempts, the total intubation time, and the failures of the TL intubation were recorded. Intubation difficulty by means of TL was assessed by the original 6-point scale.
Results: Of total 300 patients enrolled in the study, TL intubation was successful in the patients of 91.3%. No correlation between the original scale and the head position was observed.
Conclusion: TL is an effective alternative for patients who require nasotracheal intubation. We could not find the favorable head position for nasotracheal intubation with TL, so we recommend that the nasotracheal intubation with TL should be started with neutral position and have to find the appropriate head position individually.