None listed
Conditions
Interventions
Intervention1: Insertion of Supraglottic Airway Device (SAD): Correct placement of the supraglottic airway device per orally with upto maximum two additional attempts after induction of anesthesia for
Sponsors
Anmol Singh
Eligibility
Inclusion criteria
Inclusion criteria: Patients with the understated criteria were included in the study 1. Physical status based on American Society of Anaesthesiologists Class 1 and Class 2. 2. Mallampatti Scoring of MP Grade 1, 2 and 3. 3. Patients aged 18 - 60 years. 4. Normal coagulation profile. 5. Surgeries requiring general anaesthesia of duration within 2 hours. 6. Minimum fasting status of 8 hours for solids and 6 hours for liquids.
Exclusion criteria
Exclusion criteria: Patients with the understated criteria were excluded out of the study 1. Age 60 years, non-consenting, patients 2. Deranged coagulation profile or platelet counts 3. Patients with uncontrolled co-existing systemic or metabolic diseases. However, their controlled counterparts (considered as ASA II), shall be considered. 4. Major open abdominal surgery or surgeries that share the airway with surgical field. 5. Any gross anatomical airway/neck abnormalities 6. Patients with any anticipatory contributory factors that may exponentially elevate the susceptibility of aspiration (Hiatal Hernia, GERD)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The ease and efficacy of placement was evaluated on a.No. of attempts b.Time for successful insertion max 2 mins i.Time of insertion measured with Casio HS80TW1DF S055 stopwatch 1000th second accuracy ii.Start of timer defined as operator picking up the prelubricated SAD iii.End of measurement was defined as bilateral chest rise and square wave capnograph trace. It will be followed by auscultation of trachea for leaks c.Additional manoeuvres required d.User rated ease of insertion 0to10Timepoint: Only once after induction of anesthesia before skin incision | — |
Secondary
| Measure | Time frame |
|---|---|
| Perioperative complications a. Incidents of laryngeal spasm (if seen or absent) b. Incidents of laryngeal injury (assessed by presence of blood staining on the SAD) c. Incidents of aspiration (assessed by a binary 0 or 1 scoring system on presence or absence of food staining on the SAD)Timepoint: At induction & at extubation;Postoperative laryngopharyngeal morbidity (after 24 hours of surgery) a) Soreness/pain in throat (assessed using Visual Analogue Pain Scale b) Difficulty in swallowing (assessed using a binary 0 or 1 scoring for presence or absence) c) Difficulty in speaking (assessed using a binary 0 or 1 scoring for presence or absence)Timepoint: 24 hours after extubation | — |
Countries
India
Contacts
Public ContactAnmol Singh
Adesh Institute of Medical Sciences and Research
Outcome results
None listed