Health Condition 1: O- Medical and Surgical Health Condition 2: 8- Other Procedures
Conditions
Interventions
Intervention1: Addition of intravenous ketamine to intravenous dexmedetomidine for awake fibre optic nasotracheal intubation: Intravenous ketamine at two different doses will be administered to the pa
Sponsors
Goa Medical College and Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Patients with predicted airway posted for surgery under general anaesthesia ASA grade I and II
Exclusion criteria
Exclusion criteria: 1.Uncooperative patient/inability to communicate effectively 2.Pregnant women or patients requiring rapid sequence induction 3.Cardiopulmonary disease, heart rate (HR) 4.Allergy to the drugs involved in the study 5.History of drug or alcohol abuse, and patients on long-term opioids or sedative medication 6.Contraindication for nasal intubation 7.Patients of difficult airway with impending airway obstruction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess time taken for intubation on administration of two different doses of intravenous ketamine added to intravenous dexmedetomidine for awake fibre optic nasotracheal intubationTimepoint: To assess time taken for intubation on administration of two different doses of intravenous ketamine added to intravenous dexmedetomidine for awake fibre optic nasotracheal intubation from the point of introduction of the bronchoscope into the nares of the patient until securing the nasotracheal tube at the level of carina (which will be confirmed by direct visualization of trachea and carina using bronchoscope and capnography to exclude esophageal intubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Assessing variation in following parameters ie heart rate, Systolic blood pressure, Diastolic blood pressure, Mean Arterial pressure, Oxygen Saturation during the procedure of awake fibreoptic bronchoscope guided nasotracheal intubation. Timepoint: At following points above parameters will be measured ,besides time taken to reach these points will also be recorded 1.After insertion of scope 2.Scope at nasopharynx 3.Scope at Glottis 4.After intubation 1min 5min | — |
Countries
India
Contacts
Public ContactPratiksha Sutar
Goa Medical College
Outcome results
None listed