Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Awake Fiberoptic Intubation: A technique which allows a flexible oral or nasal route to provide a clear vsualisation of the vocal cords, and subsequent passage of an endotracheal tube i
Sponsors
Eras Lucknow Medical College and Hospital
Dr Bushra Suhail
Eligibility
Inclusion criteria
Inclusion criteria: Patients belonging to American Society of Anaesthesiologists physical status I or II. Patients scheduled to undergo elective surgery under general anaesthesia. Patients with predicted difficult airway (defined as mouth opening less than 3 cm or thyromental distance less than 6.5 cm or sternomental distance less than 12.5 cm or modified Mallampati class III/IV, or limited neck movements).
Exclusion criteria
Exclusion criteria: Patients with known or suspected allergy to Dexmedetomidine or Lignocaine. Patients with thrombocytopenia or bleeding diathesis. Patients with psychiatric disorder or uncooperative patients. HR less than 50 bpm. Second or third degree heart block. Pregnancy and lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the total duration required for awake fiberoptic intubation. Timepoint: Less than 15 mins | — |
Secondary
| Measure | Time frame |
|---|---|
| 1 To assess the patient comfort and tolerance during intubation using patient tolerance score (PTS). 2 To assess the degree of sedation using Ramsay sedation score (RSS). 3 To assess the intensity of cough during the procedure using cough score. 4 To assess the variations in heart rate (HR), mean arterial pressure (MAP), Oxygen saturation (SPO2) at different time intervals. Timepoint: At the time of intubation 5 mins after intubation and 10 mins after intubation | — |
Countries
India
Contacts
Public ContactDr Bushra Suhail
Eras Lucknow Medical College and Hospital
Outcome results
None listed