{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T03:35:07Z","timestamp":1794713707860,"version":"4.9.1"},"reference-count":17,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2010]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>The placement of endotracheal tubes in the airway, particularly through the nose, can cause trauma. Their design might be an important etiologic factor, but they have changed little since their introduction. Recently Parker Medical (Bridgewater, Conn ) introduced the Parker Flex-Tip (PFT) tube, suggesting that it causes less trauma. This study aimed to compare the PFT endotracheal tube to a side-beveled, standard-tip endotracheal tube (ETT) for nasotracheal intubation (Figures 1 and 2). Forty consecutive oral surgery patients requiring nasotracheal intubation were randomized to receive either a standard ETT or the PFT tube. Intubations were recorded using a fiber-optic camera positioned proximal to the Murphy eye of the tube. This allowed visualization of the path and action of the tube tip as it traversed the nasal, pharyngeal, laryngeal, and tracheal airway regions. Video recordings made during intubation and extubation were evaluated for bleeding, trauma, and intubation time. Both bleeding and trauma were recorded using a visual analogue scale (VAS) and by 3 different evaluators. The PFT received significantly better VAS values than the standard tubes from all 3 raters (<jats:italic>P<\/jats:italic> &lt; 0.05) in both the extent of trauma and bleeding. Since the intubations were purposefully conducted slowly for photographic reasons, neither tube displayed a time advantage. This study suggests that the PFT tube design may be safer by causing less trauma and bleeding than standard tube designs for nasotracheal intubation.<\/jats:p>","DOI":"10.2344\/0003-3006-57.1.18","type":"journal-article","created":{"date-parts":[[2010,3,23]],"date-time":"2010-03-23T12:52:22Z","timestamp":1269348742000},"page":"18-24","source":"Crossref","is-referenced-by-count":20,"title":["Parker Flex-Tip and Standard-Tip Endotracheal Tubes: A Comparison During Nasotracheal Intubation"],"prefix":"10.2344","volume":"57","author":[{"given":"Simon","family":"Prior","sequence":"first","affiliation":[{"name":"Assistant Professor, College of Dentistry, Division of Dental Anesthesiology, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jarom","family":"Heaton","sequence":"additional","affiliation":[{"name":"Senior Resident, College of Dentistry, Division of Dental Anesthesiology, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kris R.","family":"Jatana","sequence":"additional","affiliation":[{"name":"Senior Resident, Department of Otolaryngology\u2014Head and Neck Surgery, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert G.","family":"Rashid","sequence":"additional","affiliation":[{"name":"Associate Professor, College of Dentistry, Division of Dental Anesthesiology, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1191","reference":[{"key":"i0003-3006-57-1-18-AhmedNusrath1","series-title":"Br J Anaesth","first-page":"269","article-title":"Pathways through the nose for nasal intubation: a comparison of three endotracheal tubes.","volume":"100","author":"Ahmed-Nusrath, A.","year":"2008","unstructured":"Ahmed-Nusrath, A., J. L.Tong, and J. E.Smith. Pathways through the nose for nasal intubation: a comparison of three endotracheal tubes.Br J Anaesth2008. 100:269\u2013274."},{"key":"i0003-3006-57-1-18-Hall1","series-title":"Anaesthesia","first-page":"249","article-title":"Nasotracheal intubation for head and neck surgery.","volume":"58","author":"Hall, C. E.","year":"2003","unstructured":"Hall, C. E. and L. E.Shutt. Nasotracheal intubation for head and neck surgery.Anaesthesia2003. 58:249\u2013256."},{"key":"i0003-3006-57-1-18-Avrahami1","series-title":"Eur J Radiol","first-page":"68","article-title":"CT of minor intubation trauma with clinical correlations.","volume":"20","author":"Avrahami, E.","year":"1995","unstructured":"Avrahami, E., E.Frishman, I.Spierer, M.Englender, and R.Katz. CT of minor intubation trauma with clinical correlations.Eur J Radiol1995. 20:68\u201371."},{"key":"i0003-3006-57-1-18-Krebs1","series-title":"J Clin Anesth","first-page":"218","article-title":"Retropharyngeal dissection during nasotracheal intubation: a rare complication and its management.","volume":"20","author":"Krebs, M. J.","year":"2008","unstructured":"Krebs, M. J. and T.Sakai. Retropharyngeal dissection during nasotracheal intubation: a rare complication and its management.J Clin Anesth2008. 20:218\u2013221."},{"key":"i0003-3006-57-1-18-Tintinalli1","series-title":"Ann Emerg Med","first-page":"142","article-title":"Complications of nasotracheal intubation.","volume":"10","author":"Tintinalli, J. E.","year":"1981","unstructured":"Tintinalli, J. E. and J.Claffey. 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H.Bahk, and K. S.Park. The influence of endotracheal tube tip design on nasal trauma during nasotracheal intubation: Magill-tip versus Murphy-tip.Anesth Analg2005. 101:1226\u20131229."},{"key":"i0003-3006-57-1-18-Enk1","series-title":"Anesth Analg","first-page":"1432","article-title":"Nasotracheal intubation: a simple and effective technique to reduce nasopharyngeal trauma and tube contamination.","volume":"95","author":"Enk, D.","year":"2002","unstructured":"Enk, D., A. M.Palmes, H.Van Aken, and M.Westphal. Nasotracheal intubation: a simple and effective technique to reduce nasopharyngeal trauma and tube contamination.Anesth Analg2002. 95:1432\u20131436."},{"key":"i0003-3006-57-1-18-Morimoto1","series-title":"Can J Anaesth","first-page":"295","article-title":"Nasotracheal intubation under curve-tipped suction catheter guidance reduces epistaxis.","volume":"53","author":"Morimoto, Y.","year":"2006","unstructured":"Morimoto, Y., M.Sugimura, Y.Hirose, K.Taki, and H.Niwa. Nasotracheal intubation under curve-tipped suction catheter guidance reduces epistaxis.Can J Anaesth2006. 53:295\u2013298."},{"key":"i0003-3006-57-1-18-Seo1","series-title":"Anesth Analg","first-page":"1420","article-title":"A new technique to reduce epistaxis and enhance navigability during nasotracheal intubation.","volume":"105","author":"Seo, K. S.","year":"2007","unstructured":"Seo, K. S., J. H.Kim, S. M.Yang, H. J.Kim, J. H.Bahk, and K. W.Yum. A new technique to reduce epistaxis and enhance navigability during nasotracheal intubation.Anesth Analg2007. 105:1420\u20131424."},{"key":"i0003-3006-57-1-18-Watt1","series-title":"Anesthesiology","first-page":"238","article-title":"Telescoping tracheal tubes into catheters minimizes epistaxis during nasotracheal intubation in children.","volume":"106","author":"Watt, S.","year":"2007","unstructured":"Watt, S., D.Pickhardt, J.Lerman, J.Armstrong, P. R.Creighton, and L.Feldman. Telescoping tracheal tubes into catheters minimizes epistaxis during nasotracheal intubation in children.Anesthesiology2007. 106:238\u2013242."},{"key":"i0003-3006-57-1-18-Guterierrez1","series-title":"Anesthesiology","first-page":"A595","article-title":"A pilot study comparing the ease of intubation over an eschmann's stylette of the parker vs the mallinckrodt endotracheal tubes.","volume":"95","author":"Guterierrez, F. A.","year":"2001","unstructured":"Guterierrez, F. A., J.Stene, H. G.Schuler, and W.Weigel. A pilot study comparing the ease of intubation over an eschmann's stylette of the parker vs the mallinckrodt endotracheal tubes.Anesthesiology2001. 95:A595."},{"key":"i0003-3006-57-1-18-MarshRichard1","series-title":"Behav Res Methods","first-page":"99","article-title":"Adaptive visual analog scales: a modifiable software program for the creation, administration and scoring of visual analog scales.","volume":"41","author":"Marsh-Richard, D. M.","year":"2009","unstructured":"Marsh-Richard, D. M., E. S.Hatzis, C. W.Mathias, N.Venditti, and D. M.Daugherty. Adaptive visual analog scales: a modifiable software program for the creation, administration and scoring of visual analog scales.Behav Res Methods2009. 41:99\u2013106."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/57\/1\/article-p18.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/57\/1\/18\/2101018\/0003-3006-57_1_18.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/57\/1\/article-p18.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/57\/1\/article-p18.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:20:38Z","timestamp":1728303638000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/57\/1\/article-p18.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010]]},"references-count":17,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.2344\/0003-3006-57.1.18","relation":{},"ISSN":["0003-3006","1878-7177"],"issn-type":[{"value":"0003-3006","type":"print"},{"value":"1878-7177","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010]]}}}