Less postoperative sore throat after nasotracheal intubation using a fiberoptic bronchoscope than using a Macintosh laryngoscope: A double-blind, randomized, controlled study

Abstract Study objective To evaluate whether nasotracheal intubation using a fiberoptic bronchoscope reduces postoperative sore throat. Design Prospective, double-blinded, randomized, and controlled study. Setting Postoperative areas and surgical ward of a university hospital. Patients Seventy-four patients with American Society of Anesthesiologists physical status I-II who were scheduled for elective general anesthesia requiring nasotracheal intubation. Interventions Patients were randomized to one of two intubation groups, F (fiberoptic bronchoscope–guided) and M (Macintosh laryngoscope–guided), and after induction of general anesthesia, the patients' tracheas were intubated via the nose. Measurements The intensity of postoperative sore throat was evaluated using a numerical rating score (0=none, 10=severe) at 24 hours postoperatively, and the incidence of nasal mucosal trauma, time to completion of intubation, and hemodynamic responses were recorded and compared between groups. Main results The numerical rating score value was significantly lower in group F than in group M ( P =.0047), but the incidence of nasal mucosal trauma was comparable between the two groups. The median time to completion of intubation was shorter for group F than group M ( P Conclusions Fiberoptic bronchoscope–guided intubation is associated with less sore throat after nasotracheal intubation than M intubation. The time to completion of intubation was significantly shorter using the fiberoptic bronchoscope than that using the Macintosh laryngoscope.