Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx
Conditions
Interventions
Intervention1: Airway Block: Transtracheal block using 4ml of 4% lignocaine and bilateral superior laryngeal nerve block using 2ml of 2% lignocaine on each side in patients (5-8 min) undergoing awake
Sponsors
SMS Medical College And Attached Hospitals
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing Head and Neck Cancer surgeries requiring awake nasotracheal intubation with flexible bronchoscope. 2. Patients willing to participate in the study 3. Adult patients aged between 30-80 Years of either gender 4. Patients belonging to American Society of Anesthesiologists (ASA) grade I, II and III
Exclusion criteria
Exclusion criteria: 1.Patient should not be a part of other study 2.Patients with the history of obstructive sleep apnea, nasal trauma, nasal surgery and bleeding diathesis 3.Patients with history of allergy to the study drugs. 4.Non cooperative patients. 5.Coagulopathies, any neuropathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Mean time taken for intubation ( in seconds) from introduction of tip of flexible bronchoscope in the nostril till the cuff of endotracheal tube crosses vocal cords 2. Percentage of Intubation score 3. Percentage of Five point Patient comfort score Timepoint: During time of fibroscopy and intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mean of hemodynamic variables ( SBP, DBP, MAP, HR, SpO2) 2. Percentage of complications ( Bradycardia, Tachycardia, Hypertension, laryngospasm, traumaTimepoint: Baseline At the time of induction Before fibrescopy 1 min after intubation 3 min after intubation 5 min 10 min 20 min 30 min 60 min 90 min | — |
Countries
India
Contacts
Public ContactURVIKA SHARMA
SMS Medical College
Outcome results
None listed