Health Condition 1: C039- Malignant neoplasm of gum, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients requiring general anesthesia with nasal intubation a.Patients aged 18-70 years, b.American Society of Anesthesiologists physical status (ASA PS) 1 to 3, c.Patients with Mallapati score of 3 and 4 d.Restricted tongue protrusion or neck extension
Exclusion criteria
Exclusion criteria: i.Patients with POGO sore of 100% ii.Nasal, oral or oropharyngeal tumours iii.Carcinoma larynx iv.Postoperative cases with soft tissue flaps in tongue v. post radiotherapy patients with neck rigidity
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess whether rotating head to the left side to 45 degrees in supine position improves glottic view as assessed with POGO score during indirect laryngoscopy using C MAC video laryngoscope D blade under general anaesthesia as compared with the classic sniffing position.Timepoint: after induction | — |
Secondary
| Measure | Time frame |
|---|---|
| The ease of nasal intubation in left head rotation position 2) number of attempts and the time taken for intubation 3) requirement of external neck manipulation ,cuff inflation or Magill’s forceps for intubation 4) whether head is required to be turned back to classic position due to difficulty in intubation, 5)incidence of trauma 6) hemodynamic changes during intubation will also be assessed.Timepoint: from start of induction till end of surgery | — |
Countries
India
Contacts
AMRITA INSTITUTE OF MEDICAL SCIENCES