Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx
Conditions
Interventions
Intervention1: Airway assessment with 3 D CT reconstruction and virtual endoscopy of airway: In addition to conventional assesment, 3 D CT reconstruction will be done for preoperative airway assesment
Sponsors
Dr Shivangi Ganjoo
Eligibility
Inclusion criteria
Inclusion criteria: • Age >18 years • Patients undergoing head and neck cancer surgery (lip, oral cavity, nose, paranasal sinus, oropharynx, hypopharynx, salivary glands, nasopharyngeal, thyroid, tracheal, laryngeal cancers). • Patients having CT scan within 4 weeks of scheduled surgery (CT scans are routinely done preoperatively by the surgeons for assessing the extent and resectability of tumor). • Patients who give written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: • Presence or plan of tracheostomy prior to surgery • Patient refusal to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total airway management time [defined as time from insertion of equipment in oral cavity (beyond incisors)/nares (beyond tip of nose) till appearance of 3 sine wave graph on capnograph]Timepoint: On the day of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of failed intubation (inability to site endotracheal tube after multiple attempts)Timepoint: till successful intubation;Number of alternative techniquesTimepoint: till intubation;Number of attempts (defined as all activities from introduction of the endotracheal tube into nasal/oral cavity till it was taken out)Timepoint: till intubation;Other maneuvers required [Tube rotation, use of Magills forceps, Optimum External Laryngeal Manipulation (OELM) ]Timepoint: till intubation | — |
Countries
India
Contacts
Public ContactDr Rakesh Garg
AIIMS, New Delhi
Outcome results
None listed