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Year : 2018  |  Volume : 5  |  Issue : 3  |  Page : 252-258

Easy pediatric nasal intubation

Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Ramy Mahrose
Department of Anesthesiology, Faculty of Medicine, Ain Shams University, Cairo
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/roaic.roaic_82_17

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Background Pediatric anesthesiologists during nasal intubation use Magill forceps frequently, but it is often difficult to push the tube into the trachea. Differences in the airway structure of children compared with adults may be the cause of the problem. Modified pediatric Magill forceps (modified by Farouk and his colleagues) added anteroposterior firm grasping of the nasotracheal tube which 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 The aim of this study was evaluation of the value of modified pediatric Magill forceps in facilitating nasal intubation. Patients and methods The study included 100 American Society of Anesthesiologists physical status I–II patients (age range: 2–6 years) who were scheduled for tonsillectomy operation. The patients were divided randomly into two equal groups. Group A in which modified pediatric Magill forceps was used to assist nasotracheal intubation, while group B in which Magill forceps was used to assist nasotracheal intubation. For each patient, the following data were collected: age, body weight, intubation time, number of intubation attempts, hypoxia, pharyngeal trauma, and need for tube corkscrewing. Results The results showed that there was a statistically significant decrease in intubation time in group A when compared with the corresponding values in group B. Also, group A showed a statistically significant decrease in the number of intubation attempts in comparison to group B denoting easier nasal intubation attempts in group A. Patients in group A showed a decrease in the number of patients who 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 a decrease of numbers of the need to do corkscrewing in comparison to group B, and the difference between the two groups was significant statistically. Conclusion The results of this study demonstrated that performing nasal intubation using the modified pediatric Magill forceps showed greater ease of nasotracheal intubation than the usage of conventional Magill forceps.

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