{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T09:20:17Z","timestamp":1697188817697},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr H. Sci."],"abstract":"<jats:p>Background: Fiberoptic intubation (FOI) is considered a beneficial modality used to intubate life-threatening airway patients.This study aims at assessing the effectiveness of shortened uncuffed endotracheal tube as a nasopharyngeal airway during FOI.&#x0D;\nMethods: Between January 2019 and March 2021, this prospective randomized controlled trial has enrolled 62 adult patients(56 males and 6 females) with normal airways scheduled for elective oral FOI classified American Society of Anesthesiologists(ASA I-III), their age ranged 20-60 years. The patients were randomized into two equal groups (31 per each); in group I, FOIwas carried using lingual traction, and in group II, FOI was carried out with lingual traction plus a shortened uncuffed endotrachealtube as a modified nasopharyngeal airway to maintain oxygenation. The time taken to successful tracheal intubation andother technical parameters have been measured. The heart rate (HR), mean arterial pressure (MAP), oxygen saturation (SpO2),end-tidal carbon dioxide (EtCO2), and any associated complications have been measured.&#x0D;\nResults: During insertion of the scope, the SpO2 was significantly decreased in group I (92.55 \u00b1 7.94) compared to group II(97.42 \u00b1 6.34), p=0.009. The heart rate, MAP, and EtCO2 were found to be insignificantly different in both groups (p&gt;0.05).The time needed for intubation in group I (2.78\u00b10.98 min) was prolonged compared with group II (1.95\u00b11.02 min) p =0.002.The number of attempts was comparable in both groups, while the number of successful intubations from the 1st attempt was12 (39%) compared to 18 (58%) in groups I and II respectively, p=0.36. The overall success rate by juniors was 71% in group Icompared to 84% in group II, p=0.66 with a lower incidence of using rescue oxygen and other facilitating maneuvers.&#x0D;\nConclusions: The modified nasopharyngeal airway is a useful modality to facilitate oral FOI by anesthesia resident trainees.&#x0D;\nKeywords: Nasopharyngeal airway; Endotracheal tube; Training of FOI.<\/jats:p>","DOI":"10.4314\/ahs.v23i3.67","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T14:38:44Z","timestamp":1697121524000},"source":"Crossref","is-referenced-by-count":0,"title":["Using a shortened uncuffed endotracheal tube as a nasopharyngeal airway: a useful  adjunct during fiberoptic intubation training among anesthesia residents"],"prefix":"10.4314","volume":"23","author":[{"given":"Hosni","family":"A Salem","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman","family":"Aly Rayan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Usama","family":"Abotaleb","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Essam","family":"Shafiq M Abdel-wahap","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ismail","family":"A Elzoughari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"A Taha Alafifi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walid","family":"Kamal Abdelbasset","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"M Abodonya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2895","published-online":{"date-parts":[[2023,10,11]]},"container-title":["African Health Sciences"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/257021\/242785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/download\/257021\/242785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T14:39:15Z","timestamp":1697121555000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/ahs\/article\/view\/257021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,11]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,10,11]]}},"URL":"https:\/\/doi.org\/10.4314\/ahs.v23i3.67","relation":{},"ISSN":["1729-0503","1680-6905"],"issn-type":[{"value":"1729-0503","type":"electronic"},{"value":"1680-6905","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10,11]]}}}