Health Condition 1: S02- Fracture of skull and facial bones
Conditions
Interventions
Intervention1: Head-up position at 30 degrees
: Head-up position at 30 degrees during nasotracheal intubation using C-MAC D-Blade video laryngoscope.
The position will be maintained only during nasotr
Sponsors
Mahatma Gandhi Medical College and Research Institute
Eligibility
Inclusion criteria
Inclusion criteria: ASA Physical Status I and II Patient having mouth opening more than 2cm Patients undergoing elective oro-maxillary facial surgeries requiring naso-tracheal intubation
Exclusion criteria
Exclusion criteria: Patients with severe nasal deformities, nasal pathology or previous nasal surgery Patient with history of bleeding disorders and coagulopathy Patient with Lefort III type of fracture and C-spine fracture or disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to intubation (from insertion of laryngoscope to appearance of first capnographic waveform) Timepoint: Time to intubation measured once during induction at the time of nasotracheal intubation, single intra-operative measurementusing a handheld stopwatch by an independent observer from blade insertion to first capnographic wave; capnography will confirm tube placement. | — |
Secondary
| Measure | Time frame |
|---|---|
| Ease of intubation (Modified Intubation Difficulty Score) Timepoint: During intubation, assessed during intubation immediately after tube placement single intra-operative assessment. ;Hemodynamic parameters - Heart rate, Mean arterial pressure, SpO2 Timepoint: Baseline (pre-induction), immediately after intubation (0 min), & then at 1, 2, 3, 4 & 5 minutes post-intubation;First attempt success rate Timepoint: Recorded at the time of intubation (immediate; single intra-operative outcome). | — |
Countries
India
Contacts
Public ContactGayatri Mishra
Mahatma Gandhi Medical College and Research Institute
Outcome results
None listed