Health Condition 1: C00-D49- Neoplasms
Conditions
Interventions
Intervention1: Nasotracheal intubation using video laryngoscope: Comparing two techniques that is cuff inflation technique and use of magills forceps for nasotracheal intubation using C mac D blade vi
Sponsors
Shree krishna hospital
Eligibility
Inclusion criteria
Inclusion criteria: Patients scheduled for orofacial cancer surgeries requiring nasal intubation who fall under following criteria; 1. American Society of Anesthesiologists (ASA) class Iâ??III 2. Age 18â??70 years 3. El Ganzouri risk index (EGRI â?? total) between 1 â?? will be included in our study. Difficult airway is graded by EGRI for difficult airway prediction based on seven parameters: - body weight [kg], modified Mallampati class, mouth opening [cm], Thyromental distance [cm], neck movement [°], prognathism, and history of difficult airway; with a score ranging from 0 to 12 will be used in our study [Table 1] Table 1: El-Ganzouri risk index Variable Finding Variable Finding Points 1.Mouth opening(cm) >4 0 2.Thyromental distance(cm) >6.5 0 6.0-6.5 1 3.Mallampati score I 0 II 1 III 2 4.Neck movement( â?° ) >90 0 80-90 1 5.Ability to Prognath Yes 0 No 1 6.Body weight ( Kg) 90-110 1 >110 2 7.History of difficult intubation None 0 Questionable 1 Definite 2
Exclusion criteria
Exclusion criteria: 1. ASA IV patients, 2. Patients with mouth opening 3. Patients with hyperkalemia, 4. Patients with history or family history of malignant hyperthermia, 5. Patients with facial trauma
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| This research project will help to evaluate the two techniques in terms of the time taken in seconds,attempts in number and ease for successful nasotrachel intubation using c mac d blade video laryngoscope in a difficult airway of oro facial malignancy cases posted for surgery.Outcome will be assessed after collecting data from estimated sample size or within 14 months/56 weeks whichever is earlier.Timepoint: This research project will help to evaluate the two techniques in terms of the time taken in seconds for successful intubation,attempts in number and ease for successful nasotrachel intubation using c mac d blade video laryngoscope in a difficult airway of oro facial malignancy cases posted for surgery. Outcome will be assessed after collecting data from estimated sample size or within 14 months/56 weeks whichever is earlier. | — |
Secondary
| Measure | Time frame |
|---|---|
| This research project will help to evaluate the two techniques in terms various complications like hemodynamic changes,desaturation and trauma to teeth and other laryngeal structures for successful nasotrachel intubation using c mac d blade video laryngoscope in a difficult airway of oro facial malignancy cases posted for surgery.Outcome will be assessed after collecting data from estimated sample size or within 14 months/56 weeks whichever is earlier.Timepoint: This research project will help to evaluate the two techniques in terms various complications like hemodynamic changes,desaturation and trauma to teeth and other laryngeal structures for successful nasotrachel intubation using c mac d blade video laryngoscope in a difficult airway of oro facial malignancy cases posted for surgery.Outcome will be assessed after collecting data from estimated sample size or within 14 months/56 weeks whichever is earlier. | — |
Countries
India
Contacts
Public ContactKruti Rajeshbhai Jadav
Pramukh Swami Medical College Shree Krishna Hospital
Outcome results
None listed