Health Condition 1: null- patients with coronary artery disease who have to undergo coronary artery bypass grafting under general anaesthesia
Conditions
Interventions
Intervention1: Truview PCD laryngoscope: The TruViewPCD laryngoscope (Truphatek International Ltd, Netanya, Israel) is a recently introduced device with a unique blade that provides an optical view â?
Sponsors
G B pant Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients with coronary artery disease undergoing coronary artery bypass grafting under general anaesthesia
Exclusion criteria
Exclusion criteria: 1) Patients with renal disease, hepatic disease , neurological disease and bleeding diathesis 2) Mallampati score of III-IV or history for a difficult intubation and limited nuchal range of motion 3) American Society of Anesthesiologists physical Status IV (ASA class IV) 4) Patients with gastroesophageal reflux disease, delayed gastric emptying 5) Serious respiratory disease, kyphoscoliosis 6) LVEF
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| heart rate , systolic blood pressureTimepoint: before and after induction, immediately after intubation, and at 1, 2, 3, 4, 5 and 10 minutes- post intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac output( CO), systemic vascular resistance index( SVRI), and pulmonary vascular resistance index( PVRI)Timepoint: before and after induction, and at 1, 5 and 10 minutes- post intubation;diastolic arterial pressure (DAP), mean arterial pressure (MAP), mean pulmonary arterial pressure (MPAP), pulmonary artery diastolic pressure( PADP), peripheral oxygen saturation (SpO2)Timepoint: before and after induction, immediately after intubation, and at 1, 2, 3, 4, 5 and 10 minutes- post intubation;Duration of intubationTimepoint: time interval between oralplacement of endotracheal tube to the attainment of tracing of 3 end tidal CO2 waveforms;Duration of laryngoscopyTimepoint: the time from oral placement of laryngoscope blade to obtaining the best glottis view;modified Cormack and Lehane Scoring System (mC-L) and percentage of glottis view (POGO) scoreTimepoint: during laryngoscopy;need for nitroglycerineTimepoint: immediately after intubation, and at 1, 2, 3, 4, 5 and 10 minutes- post intubation;Number of unsuccessful attempts of intubation (if any), complications encountered during intubation(bleeding, lacerations, dental injury, etc.), the neck extension need with videolaryngoscopes and optimum laryngeal external manipulation( OLEM) need, Intubation difficulty scoreTimepoint: during intubation;throat pain or sore throatTimepoint: 24 hours after intubation | — |
Countries
India
Contacts
Public ContactAnitha
Maulana Azad Medical College & associated G B Pant Hospital Delhi University
Outcome results
None listed