Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: retromolar intubation: Intervention (Arm A):
Retromolar intubation ? Patients will undergo endotracheal intubation via the retromolar route during maxillofacial trauma surgery.
Control
Sponsors
Govt medical college and hospital Nagpur
Eligibility
Inclusion criteria
Inclusion criteria: -Adults (typically aged 18 years and above). -Diagnosed with panfacial/complex maxillofacial fractures requiring surgical repair. -Patients with maxillofacial fractures contraindicated for nasotracheal intubation. -Patients requiring management under general anesthesia. -Willingness and ability to provide informed consent.
Exclusion criteria
Exclusion criteria: -Pediatric patients (under 18 years of age). -Patients with severe comorbidities that may affect surgical outcomes or airway management decisions. -Patients undergoing emergency procedures where immediate intubation methods (such as traditional oral intubation) are preferred. -Patients who decline participation or are unable to provide informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assess visibility, accessibility, and maneuverability of the Surgical Field: To assess how each intubation technique affects the visibility, accessibility and maneuverability of the surgical field using following criteria. Timepoint: at baseline | — |
Secondary
| Measure | Time frame |
|---|---|
| Evaluate the Incidence of Complications: frequency and types of complications associated with each intubation technique, including tube bleeding, displacement, accidental extubation, infections, intraoperative tube injuries, kinking of the tube, need for third molar extraction, need for tube to be retained after surgery, salivary fistula, scarring and wound healing problems etc, o Examine the Technical Difficulty: evaluate the technical challenges and ease of performing each intubation technique by assessing the skill required, the frequency of difficulties encountered, no. of attempts, need of assistance and the overall feasibility of each methodTimepoint: o Assess the Duration of Intubation: the time required to perform successful intubation with each technique, including the time from initiation to completion of the intubation process in minutes. | — |
Countries
India
Contacts
Public ContactDr Kainat Khan
Govt medical college and hospital, Nagpur
Outcome results
None listed