Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Group E- 5% Eutectic Mixture of Local Anaesthetics (EMLA cream): 0.5 to 2gms of 5% EMLA cream applied over Microcuff endotracheal tube cuff just before intubation. (The amount of cream
Sponsors
JIPMER, Puducherry
Eligibility
Inclusion criteria
Inclusion criteria: Patients from age of 4 months-12 years, of either sex, of ASA physical status I and II undergoing elective surgeries under general anesthesia with cuffed endotracheal tube
Exclusion criteria
Exclusion criteria: History of upper respiratory tract infections History of bronchial asthma History of congenital heart disease Previous laryngeal or tracheal surgery Patients undergoing airway surgery History of local anesthetic allergy Patients with anticipated difficult airway Patients expected to require postoperative ventilation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post extubation cough (Two or more episodes of violent coughing or SpO2 falling below 95% during coughing episode)Timepoint: Till 5 minutes after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Haemodynamic parameters like heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressureTimepoint: Every minute till 5 minutes after extubation;Laryngospasm according to the four point scale Grade 0- No laryngospasm Grade 1- Stridor during laryngospasm Grade 2- Total occlusion of cords Grade 3- Cyanosis Timepoint: Till 5 minutes after extubation;Oxygen desaturation (SpO2 less than 95% for more than 30 seconds)Timepoint: Till 5 minutes after extubation;Presence of apnea (cessation of breathing for more than 20 seconds)Timepoint: Till 5 minutes after extubation | — |
Countries
India
Contacts
Public ContactDr Aryakalyani Sreekumar
Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed