Introduction: Conventional fiber optic intubation in well-organized airway is available with difficulty and rates of the success are about sixty-eight percent. The complications involve long time attributed to bleeding, coughing& intubation. The aim of this research work is to compare two available procedures establish to reduce the duration, problem rates, easy insertion &hemodynamic constancy.

Methodology:This study was conducted in sheikh Zayed hospital Rahim yar khan. All the participants of this study were distributed into two groups. In Group A of endotracheal tube, the insertion of the endotracheal tube carried out till 18 centimetres spot at the alae of nasal cavity. Fiberscope dot its way from the tube & found the way to go through the VCs (vocal cords). The proper placement of the tube was confirmed. In the next group: Group B of nasopharyngeal airway, a nasopharyngeal airway of spirally split Rusch® in suitable size heated, lubrication carried out & inserted in nose. Fiberscope got is way from airway, visualization of the VCs carried out & the removal of the nasopharyngeal airway carried out and proper confirmation about the placement of the tube was ensured. The documentation of the duration of time taken for the intubation, the episodes of cough, bleeding &hemodynamic aspects carried out.

Results: The 79.76 seconds tome was requirement for intubation in the patients of Group A,but in case of GroupB, the time was 44.15 seconds. The increase in the rate of heart beat & average BP of the arteries to be very high in the in the patients of Group A as compared to the patients of Group B.

Conclusion: We came with the outcome that split nasopharyngeal airway is good procedure for the intubation then the method of endotracheal tube due to short time and best hemodynamic factors.

Keywords: Coughing,Hemodynamic, intubation, nasopharyngeal, arteries, heartbeat.