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. 2025 Apr;69(4):e70013.
doi: 10.1111/aas.70013.

The impact of tube and equipment choice in nasotracheal intubation: Protocol for a scoping review

Benedicte Grøngaard Madsen  1 , Emma Atsuko Tsuchiya  1 , Gustav Borghegn Blak Christensen  1 , Johan Heiberg  1   2 , Mette Krag  1   2
Affiliations

The impact of tube and equipment choice in nasotracheal intubation: Protocol for a scoping review

Benedicte Grøngaard Madsen et al. Acta Anaesthesiol Scand. 2025 Apr.

Abstract

Background: Nasotracheal intubation is commonly used in oral and maxillofacial surgeries due to its improved access to the surgical field. However, the technique can lead to complications like epistaxis and mucosal injuries. The choice of tube and other equipment may impact patient outcomes. This review aims to explore how different tubes and equipment affect patient outcomes during nasotracheal intubation.

Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) statement, we plan to carry out a scoping review of studies examining the impact of different tubes and equipment on patient outcomes during nasotracheal intubation in adults. We will assess study design, population, type of tube and equipment, and patient outcomes across the included studies.

Results: We plan to provide descriptive analyses of the included studies accompanied by tabulated results to summarize key findings and identify patterns in the data.

Conclusion: This scoping review will summarize the existing evidence on how tube and equipment choices affect patient outcomes during nasotracheal intubation.

Keywords: equipment; nasotracheal intubation; patient outcomes; tubes.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Tsukamoto M, Kameyama I, Miyajima R, Hitosugi T, Yokoyama T. Alternative technique for nasotracheal intubation using a flexible fiberoptic scope. Anesth Prog. 2022;69(2):35‐37. - PMC - PubMed
    1. Şengel N, Karabulut G, Kavuncuoğlu D, Selmi NH, Şivgin V, Toprak ME. Nasotracheal intubation performance with the McGrath videolaryngoscope versus Macintosh laryngoscope in oral and maxillofacial surgery—an observational study. Niger J Clin Pract. 2022;25(5):683‐689. - PubMed
    1. Earle R, Shanahan E, Vaghadia H, et al. Epistaxis during nasotracheal intubation: a randomized trial of the Parker flex‐tip™ nasal endotracheal tube with a posterior facing bevel versus a standard nasal RAE endotracheal tube. Can J Anaesth. 2017;64(4):370‐375. - PubMed
    1. Sanuki T, Hirokane M, Matsuda Y, et al. The Parker flex‐tip™ tube for nasotracheal intubation: the influence on nasal mucosal trauma. Anaesthesia. 2010;65(1):8‐11. - PubMed
    1. Ho CH, Chen LC, Hsu WH, Lin TY, Lee M, Lu CW. A comparison of McGrath videolaryngoscope versus Macintosh laryngoscope for nasotracheal intubation: a systematic review and meta‐analysis. J Clin Med. 2022;11(9):2499. - PMC - PubMed

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