Health Condition 1: null- ASA I/II, adults patients undergoing head and neck surgeries
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: ASA grade I/II Mallampatti grade I and II Patients needing nasotracheal intubation for elective head and neck surgeries
Exclusion criteria
Exclusion criteria: 1. Refusal of consent. 2. Patients having risk factors for gastric aspiration. 3. Patients with previously documented difficult tracheal intubation. 4. Patients who had undergone previous head and neck surgery. 5. Emergency surgical procedure. 6. Patients with an anticipated difficult airway. Criteria for difficult airway are as follows: (2 or more) a) Thyromental distance less than 6 cm b)â?? Mallampatti classification III or IV c)â??Inter-incisor distance less than 4 cm. d) Jaw subluxation 0 or -1 e)â??Neck extension less than 90 degrees f) Radiotherapy to head or neck region g) Limited tongue protrusion h)â??Obesity â?? BMI more than 35 i) Buck teeth / missing incisors
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is the time to intubation. This is defined as the time from gripping the laryngoscope until registration of three waves of expired CO2. TTI will be measured in seconds using a stopwatch. In case of repeated attempts, the stop watch will continue to run until successful endotracheal intubation is confirmed.Timepoint: End of intubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Rate of successful intubation: 2.Number of attempts needed for successful intubation 3.Need for use of optimisation manoeuvres (BURP) 4.The Cormack and Lehane grade at laryngoscopy 5.Percentage of difficult intubations in each group: 6.The occurrence of complications (visible trauma to lip or oral mucosa or blood on the laryngoscope). Timepoint: End of intubation. | — |
Countries
India
Contacts
Tata Memorial Hospital