Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Successful Intubation with first intubation attempt in Rapid Sequence Intubation Technique: Rapid sequence intubation technique will be employed for the conduct of general anaesthesia.
Sponsors
Department of Anaesthesia and Intensive Care
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age group of 18 to 60 years of either sex 2. Patients with the American Society of Anaesthesiologists (ASA) physical status Class I and II 3. Patients undergoing elective surgery requiring endotracheal intubation under general anaesthesia
Exclusion criteria
Exclusion criteria: 1. Patients with anticipated difficult airway [Airway Difficulty Score (ADS) >8]. 30 2. Morbid obesity (BMI > 35kg.m-2). 3. Pregnant women. 4. Major maxilla-facial trauma or cervical spine pathology. 5. Severe cardiorespiratory, cerebrovascular, renal, lymphatic and musculoskeletal diseases. 6. Severe coagulopathy or history of anticoagulant use. 7. Patients at increased risk of pulmonary aspiration such as gastroesophageal reflux disease (GERD), peptic ulcer disease. 8. Surgeries in prone position
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful intubation with first intubation attemptTimepoint: 10 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| - The number of attempts until the tube is in tracheal, as confirmed by capnography and chest auscultation. -Time taken for intubation (TTI) from introduction of device in mouth till first square wave capnograph is obtained. - Laryngeal view obtained (Modified Cormack and Lehane grading and Percentage of Glottis Opening (POGO) score by the intubator. - Heart rate (HR), NIBP, SpO2 and ETCO2 will be monitored continuously throughout the procedure and recorded just before intubation, immediately after intubation, at 1 minute after intubation, 5 minutes after intubation and 10 minutes after intubation. - Any other intra operative finding: a) Broken Teeth b) Soft tissue oedema c) Bleeding from gums/lips 11 6. Postoperative observations: All patients will be evaluated in the post anaesthesia care unit (PACU) and in the ward for a duration of 12 hours for the following observations: a) Sore throat b) Stridor/hoarseness c) Any other complicationTimepoint: 12 hours after intubation | — |
Countries
India
Contacts
Public ContactDr Dheeraj Kapoor
Government Medical College and Hospital, Sector 32 Chandigarh
Outcome results
None listed