Health Condition 1: - Health Condition 2: null- All patients between 18 and 65 years, belonging to ASA status I â?? III with upper cervical spine (C1 to C4) pathology and resultant instability, scheduled for elective surgery under GA
Conditions
Interventions
Intervention1: fibreoptic scope: Awake orotracheal intubation will be done using fibreoptic scope or video laryngoscope in patients undergoing surgery for unstable cervical spine. It is a comparative
Sponsors
none
Eligibility
Inclusion criteria
Inclusion criteria: All patients aged between 18 and 65 years, belonging to ASA status I â?? III physical status with upper cervical spine (C1 to C4) pathology and resultant instability, scheduled for elective stabilization surgery, under general anaesthesia at National Institute of Mental Health and Neurosciences, Bengaluru.
Exclusion criteria
Exclusion criteria: Morbidly obese patients Difficult airway- oropharyngeal pathology or mouth opening less than 3 cm Patients who refuse to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary objective is to assess cervical-spine movement at C1/2 and C2/3 level during intubation. Timepoint: T1- Timepoint 1 is baseline X ray with cervical spine in neutral position T2- timepoint 2 is x ray taken during best laryngoscopy view using VL(McGrath) or with fibreoptic scope in trachea with Fibreoptic bronchoscope T3- is Timepoint 3 when the tube is in trachea in both the groups | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objectives are to assess change in the neurological status (motor power and sensory examination in both upper and lower limbs) during intubation process and evaluate hemodynamic changes, intubation success and patient satisfaction regarding awake intubation with these two techniques. Timepoint: after intubation for neurological assessment after surgery for patients satisfaction | — |
Countries
India
Contacts
Public ContactDr Sriganesh
NIMHANS
Outcome results
None listed