Fibrescope vs video laryngoscope for nasal intubation during surgery
Official title: Flexible Fibrescope Versus Video Laryngoscope for Nasotracheal Intubation - A Randomised Comparison
Run by University Hospitals Coventry and Warwickshire NHS Trust · NCT07353255 · Data updated 2026-11-12
This study tests whether using a fibrescope to place a nasal breathing tube is easier on the patient and causes less nosebleed than a video laryngoscope approach in adults undergoing general anesthesia.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 200 (estimated) |
| Sponsor | University Hospitals Coventry and Warwickshire NHS Trust Academic / other |
| Locations | 1 site (Coventry, West Midlands) |
| Status | Recruiting |
| Started | February 1, 2026 |
| Main results expected | January 31, 2027 |
| Study ends | January 31, 2027 |
| Registry record updated | June 15, 2026 |
| Trial ID | NCT07353255 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults 18 or older undergoing elective surgery requiring nasal intubation, who can provide informed consent and are not ASA 4–5 or require awake intubation.
✕Probably not a fit
Patients with very difficult airways, ASA 4–5 status, or those requiring awake intubation may not benefit from this comparison.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study compares two techniques for nasotracheal intubation in adults having surgery under general anesthesia. One group uses a flexible fibrescope with a pre-loaded tube, and the other uses a video laryngoscope to guide the tube through the nose into the trachea. The aim is to see if the fibrescope reduces nasal trauma and bleeding and improves first-attempt success. The trial will enroll patients 18 years or older who require nasal intubation for elective procedures and do not have exclusion criteria such as high ASA status or inability to consent. Outcomes will focus on nasal trauma, bleeding, and first-pass success rate.
Why it matters
Potential benefit: If successful, this approach could lessen nasal trauma and improve safe, reliable nasal intubation for patients undergoing related surgery.
How similar studies have gone: Previous studies in airway management have shown mixed results; this trial explores a potentially more trauma-reducing technique that warrants comparison with video-assisted methods.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: Patients aged 18 and above, presenting for elective surgical procedures and requiring general anaesthesia and nasal intubation will be invited to take part in the study. Exclusion Criteria: * Patients who do not want to take part or do not give consent * Patients unable to give written consent. * Patient physical status of ASA 4 and 5, * Patients deemed to require awake intubation.
Where it's running
-
University Hospital Coventry
Coventry, West Midlands, United Kingdom Recruiting
Study contacts
- Study coordinator: Charles Pairaudeau, FRCA
- Email: Charles.Pairaudeau2@uhcw.nhs.uk
- Phone: +44719121363
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.