Health Condition 1: G959- Disease of spinal cord, unspecified
Conditions
Interventions
Intervention1: Airway anaesthesia by bilateral superior laryngeal nerve block and transtracheal block: In 60 patients airway anaesthesia will be obtained by combination of bilateral superior laryngeal
Sponsors
Sanjay Gandhi Post Graduate Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: 18-65 years Patients of either gender ASA I and II patients Cervical spine pathology (cervical bone fractures, ligament instability, degenerative disc diseases, tumours, clinically relevant myelopathy) undergoing elective surgery of the cervical spine Weight over 40 kgs
Exclusion criteria
Exclusion criteria: Patients who declined the awake fibreoptic procedure Contraindications to the administration of glycopyrrolate (e.g. low cardiac output syndrome or clinically relevant tachycardia), midazolam or local anaesthetic agent; Mental disability or forms of delirium; Polytrauma patients and/or oro/nasal/pharyngeal bleeding; Contraindication to the performance of translaryngeal injection (thyroid swelling, local infection, or laryngeal disorder). Pregnant patients, those with coagulopathy and those on anticoagulants or antiplatelet agents Previous history of fibreoptic intubations or redo cervical spine surgeries Patients requiring AFOI but lesions on posterior tongue, pharyngeal or laryngeal areas
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Evaluate the comfort of AFOI, represented by patientsâ?? cough and gag scores during fibreoptic intubation and tube fixationTimepoint: Immediately after completion of fibreoptic intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Ease of intubation process 2)Time required for successful intubation 3)Cardiovascular effects during the procedure 4)Evaluation of the experience of the awake intubation as satisfied, neutral, dissatisfied or having no recall. 5)Postoperative pain in the throat using a visual scale of 1 to 5 (1, none; 5, unacceptable pain), hoarseness (1, none; 5, aphonia) and difficulty of swallowing (1, none; 5, impossible to swallow Timepoint: 1) Immediately after the procedure 2) Immediately after the procedure 3) Immediately after the procedure 4)24 hours after the procedure when the patient has been extubated 5)24 hours after the procedure when the patient has been extubated | — |
Countries
India
Contacts
Public ContactRudrashish Haldar
Sanjay Gandhi Post Graduate Institute of Medical Sciences
Outcome results
None listed