Evidence map›Paper›PMID 42145293›Full record

ArticleIndian journal of anaesthesia2026

Conventional versus nasopharyngeal airway-guided bougie technique for nasotracheal intubation in adult patients: A randomised controlled study.

Manisha Manohar, Suresh Kumar Singhal, Bonam Sathish Kumar

Abstract read
In one paragraph

Article in Indian journal of anaesthesia, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Manisha ManoharDepartment of Anaesthesiology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.ORCID https://orcid.org/0000-0002-9781-2544
Suresh Kumar SinghalDepartment of Anaesthesiology, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.ORCID https://orcid.org/0000-0002-8993-9924
Bonam Sathish KumarDepartment of Anaesthesia and Critical Care, Pt. B.D. Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.ORCID https://orcid.org/0009-0000-9371-1319

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The conventional nasotracheal intubation (NTI) technique is associated with nasal trauma, bleeding, and intubation difficulties. A modified approach using a nasopharyngeal airway as a conduit for bougie-guided NTI has been proposed to reduce nasal trauma. This study aimed to compare the nasopharyngeal airway-guided bougie technique for NTI with conventional NTI in adults. Methods: This prospective randomised controlled study was conducted on 60 American Society of Anesthesiologists' physical status (ASA-PS) classification I and II adult patients undergoing elective surgeries. Patients were assigned to two groups: Group C (conventional NTI) and Group B (bougie-guided NTI using a nasopharyngeal airway). Primary outcomes included comparing the severity of nasopharyngeal bleeding. Secondary outcomes included ease of insertion, intubation time, first-pass success rate, and need for additional manoeuvres. Statistical analysis was performed using appropriate tests with a significance threshold of Results: Nasopharyngeal bleeding was comparable between the groups [absolute risk difference, 10.0%; 95% confidence interval (CI), -11.8% to 30.7%; Conclusion: Bougie-guided NTI using a nasopharyngeal airway did not significantly reduce nasopharyngeal bleeding compared with the conventional technique. While success rates were similar, the longer intubation time may limit its routine use when rapid airway control is required.

Indexed as

Airway managementepistaxisgeneral anaesthesiaintratrachealintubation

Identifiers

PMID42145293
PMCPMC13178838

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.