Health Condition 1: C01- Malignant neoplasm of base of tongue Health Condition 2: C001- Malignant neoplasm of external lower lip Health Condition 3: C04- Malignant neoplasm of floor of mouth Health Condition 4: C03- Malignant neoplasm of gum Health Condition 5: C06- Malignant neoplasm of other and unspecified parts of mouth
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing surgery for elective resection of oral cavity tumor resection with Pectoralis major myocutaneous (PMMC) flap reconstruction. 2. BODY MASS INDEX 18.5- 29.9. 3. ASA PS I, II, III.
Exclusion criteria
Exclusion criteria: 1. Patient refusal. 2. Planned for awake intubation. 3. Planned for central arch resection. 4. Planned for tracheostomy. 5. Emergency exploration. 8. Allergy to Propofol or any study drugs. 9. Ejection fraction 10. Chronic kidney and liver disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To detect the difference in incidence of postoperative pulmonary complications.Timepoint: over fifth postoperative day. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To detect the difference in perioperative systemic inflammation: change between preoperative and postoperative Neutrophil Lymphocyte ratio (NLR), Platelet Lymphocyte ratio (PLR) and modified Glasgow Prognostic Score (m GPS). 2.To detect the change in 24 hour opioid consumption between two groups. 3.To detect intraoperative side effects, i.e.: hypoxia, hypotension, bradycardia.Timepoint: 1. NLR, PLR and the m GPS scoring will be done day before surgery, at the end of surgery and on postoperative day 1. 2. Opioids consumption will be assessed for 24 hours. 3. The side effects will be assessed intraoperatively. | — |
Countries
India
Contacts
Department of Oncoanesthesia, IRCH, AIIMS, New Delhi