Health Condition 1: C01- Malignant neoplasm of base of tongue
Conditions
Interventions
Intervention1: Ivory polyvinylchloride north pole tube: Ivory PVC North pole tube will be inserted after induction of general anesthesia using video laryngoscopy guided nasotracheal intubation in pati
Sponsors
All India Institute of Medical Sciences Bhopal
Eligibility
Inclusion criteria
Inclusion criteria: ASA I and II undergoing elective head and neck surgeries with nasotracheal intubation under general anaesthesia
Exclusion criteria
Exclusion criteria: 1.Anticipated difficult laryngoscopy with Mallampati Classification III or IV, mouth opening less than 3 cm, Thyromental distance less than 6cm, limited neck extension, history of history of documented difficult tracheal intubation. 2.Poor cardiorespiratory reserve- Serious respiratory disease, Arrythmias or preexisting hemodynamic instability, LVEF less than 35%. 3.Contraindication to nasotracheal intubation -Bilateral nasal polyp, Adenoids, chronic suppurative Sinusitis, cervical spine instability, coagulopathy Low platelet count less than 1 lakhs/cumm, INR more than 1.4, on ongoing anticoagulant therapy. 4. Vulnerable patients- Pregnancy, psychiatric illness, pediatric age group. 5.We will also exclude patients where the experienced anesthesiologist is unable to insert endotracheal tube nasally or insert video-laryngoscope in oral cavity due to unanticipated causes or is unable to obtain any glottic view.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)Frequency of epistaxis in nasotracheal intubation with ivory polyvinyl chloride North Polar tube versus armored endotracheal tube with Video laryngoscope guided nasotracheal intubation in patients undergoing head and neck surgery. 2)Frequency of patients with easy, minor difficult and difficult intubation difficult score in nasotracheal intubation with Ivory polyvinyl chloride North Polar tube versus armored endotracheal tube with Video laryngoscope guided nasotracheal intubation in patients undergoing head and neck surgeryTimepoint: 1) 5 minutes after intubation. 2) During Induction | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 Time needed in seconds (total and phase wise)for nasotracheal intubation in Ivory polyvinyl chloride North Polar tube versus armored endotracheal tube with Video laryngoscope guided nasotracheal intubation in patients undergoing head and neck surgery.Timepoint: During induction;To compare hemodynamic response and complications in Ivory polyvinyl chloride North Polar tube versus armored endotracheal tube with Video-laryngoscope guided nasotracheal intubation in patients undergoing head and neck surgery.Timepoint: At start of preoxygenation,laryngoscopy,and 1,3,5 and 10 minutes after intubation.;To compare complications of tube related complications (cuff tear, blockage), injury(dental, nasal, vocal cord) and delayed complications (postoperative sore throat, hoarseness, dysphagia.Timepoint: Post operative at 48 hours after surgery. | — |
Countries
India
Contacts
Public ContactDr Sunaina Tejpal Karna
AIIMS BHOPAL
Outcome results
None listed