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Anesthesia for awake fiberoptic nasal intubation.Which is better technique between spray and nerve blocks.

Awake fiberoptic nasotracheal intubation under LA for intraoral malignancies.A comparison between spray as you go and nerve blocks.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2017/05/008571
Enrollment
50
Registered
2017-05-16
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- Intraoral malignancy with Mallampatti grade III and IV Health Condition 2: C068- Malignant neoplasm of overlappingsites of other and unspecified parts of mouth Health Condition 3: C068- Malignant neoplasm of overlappingsites of other and unspecified parts of mouth

Interventions

Intervention1: 2% Lignocaine ,airway spray ,airway block.: Once the FOB is at nasopharynx and then further to oropharynx and vocal cords local anesthesia 2% lignocaine will be sprayed 1 ml at each le

Sponsors

CMCH
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: Patients with intraopral malignancy and of Mallampatti grade III and IV posted for elective onco surgery

Exclusion criteria

Exclusion criteria: Patients with adequate mouth opening Not willing and noncoperative Allergic to LA

Design outcomes

Primary

MeasureTime frame
Heamodynamic parameter changes, Total time taken for Intubation, Patients comfortTimepoint: Vital parameters (HR, BP, and SpO ) will be also recorded during intubation and at 1 min and 3 min postintubation. Other parameters such as gag/cough reflex, cord visibility (relaxed, partially relaxed or adducted on endoscopic view), and ease of intubation ], time taken for intubation along with intubation score and patient comfort score

Secondary

MeasureTime frame
Overall Lignocaine required in each case. Any other side effectsTimepoint: Number of adverse events, ;This randomized controlled study will be conducted to assess and compare the efficacy of spraying of airway mucosa as you go with nerve block technique to achieve upper airway anesthesia for awake FOB guided intubation. This observation may help in clinical practice for the cancer patients in compromised airway for better management of difficult airway. Findings of this study may influence clinical practice in the management of the difficult airway during anesthesia. Timepoint: This randomized controlled study will be conducted to assess and compare the efficacy of spraying of airway mucosa as you go with nerve block technique to achieve upper airway anesthesia for awake FOB guided intubation. This observation may help in clinical practice for the cancer patients in compromised airway for better management of difficult airway. Findings of this study may influence clinical practice in the management of the difficult airway during anesthesia.

Countries

India

Contacts

Public ContactDr G N Chavan

Chirayu Medical College and Hospital

gcgcny@gmail.com7694014955

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026