Health Condition 1: C01- Malignant neoplasm of base of tongue Health Condition 2: C060- Malignant neoplasm of cheek mucosa Health Condition 3: C049- Malignant neoplasm of floor of mouth, unspecified Health Condition 4: O- Medical and Surgical
Conditions
Interventions
Intervention1: Hybrid intubation: Combination of video laryngoscope and fiberoptic bronchoscope
Control Intervention1: Fibreoptic intubation: awake fibreoptic intubation
Sponsors
Sri shankara cancer hospital and research centre
Eligibility
Inclusion criteria
Inclusion criteria: Patients 18-75yrs presenting with anticipated airway difficulty for head and neck cancer surgery, Consenting to be part of study, ASA I-III, Upfront/Prior NACT/RT, Associated Neck Dissection/ reconstruction by free or pedicle or local flap or primary closure, Elgazeri scoring for difficult airway constituting After Anesthesia Induction constituting Awake intubation.
Exclusion criteria
Exclusion criteria: Non-consenting patients, Any other method for airway securing by gadget, Supraglottic airway device as ventilation/ intubation conduit, Front of neck access, Emergency Tracheostomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1)First attempt successful tracheal intubation rate with the hybrid technique compared with flexible bronchoscopy in a propensity score matched cohort of patients destined for either awake or anesthetised intubation in anticipated difficult airway.Timepoint: 5 minutes from attempt to intubate | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Time to achieve intubation by the fiberscope 2) Eventual successful tracheal intubation rates 3) Incidence of airway related complications and technical difficulties encountered. 4) Cross-over technique if any. Timepoint: Immediate till 24 hours | — |
Countries
India
Contacts
Public ContactS Ramkiran
Sri Shankara Cancer hospital and research
Outcome results
None listed