Health Condition 1: null- ASA Grade 1 and 2 patients, presenting to the hospital for elective surgery Health Condition 2: K00-K95- Diseases of the digestive system
Conditions
Interventions
Intervention1: cervical collar: cervical collar added to patients to asses intubation ease
Control Intervention1: oro tracheal vs naso tracheal: comparison between two modes of fibreoptic intubation
Sponsors
Nil
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients pertaining to American Society of Anesthesiologists (ASA) Grade I-II 2. Patients pertaining to Mallampati Classification (MPC) Class I-II
Exclusion criteria
Exclusion criteria: 1. Hypertension or use of drugs modifying BP 2. Respiratory/Cardiac/Oesophageal disease 3. Difficult nasal route/any contraindication to nasal intubation 4. Any non-assuring parameter as per difficult airway ASA guidelines 5. Obesity (Body Mass Index >30) 6. Increased risk of gastric aspiration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Successful insertion 2. Subjective assessment of handling and Sedation Score at â?¢ Insertion in oro/ naso pharynx â?¢ Visualization of epiglottis â?¢ Advancement into glottic aperture â?¢ Sliding of tracheal tube over fibrescope 3. At the time of insertion â?¢ Insertion time â?¢ Number of attempts â?¢ Maneuvers to facilitate insertion (chin lift, jaw thrust, 90Ë?rotation) â?¢ Incremental dose of Propofol if given Timepoint: During and Following the Intubation till 24 hours post surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Hemodynamic parameters â?? Pulse Rate, SBP, DBP, MAP. 2. Reason for failure of attempt / complications 3. Appearance of blood on suction 4. Post-operative complaint (after 2 and 24 hours) - Pain in mouth/nose, Sore throat. Timepoint: During the intubation process and for 5 minutes following that; in the immediate post operative period (2 hours and 24 hours) | — |
Countries
India
Contacts
Public ContactTarang Jain
Maulana Azad Medical College
Outcome results
None listed