Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: To Assess and Compare Ultrasonographic Measurement of Upper Airway Parameters Following Induction After Propofol and Ketofol in
Adult Patients Undergoing General Anaesthesia: Patients u
Sponsors
Pt. B. D. Sharma, PGIMS, Rohtak, Haryana
Eligibility
Inclusion criteria
Inclusion criteria: All American Society of Anaesthesiologists (ASA) physical status Class I or II patients, aged 20-60 years scheduled for elective surgery under General anaesthesia who are of either sex
Exclusion criteria
Exclusion criteria: Patients with anticipated difficult airway, BMI more than 30 kg/m2, pregnant females, Patient with distortion in anatomy in head and neck areas, severe cardiovascular dysfunctions or hemodynamic compromise, patient having a history of upper airway obstruction, dysphagia, dysphonia, anterior neck swelling, previous neck or airway surgeries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| assessment of change in various upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to anterior commissure of vocal cord distance) after induction in both propofol and ketofol groupsTimepoint: Prior to induction baseline upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to anterior commissure of vocal cord distance). Immediately following induction of anaesthesia, keeping the head in a neutral position the upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to vocal cord distance) will be quickly measured ultrasonographically after removing the face mask. During this process the patient will be paraoxygenated via nasal cannula. | — |
Secondary
| Measure | Time frame |
|---|---|
| To evaluate the correlation of Modified Mallampati Grade (MPG) and Cormack-Lehane (CL) grade with ultrasound measurements of upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to vocal cord distance)Timepoint: the patients will be examined during the preoperative visit prior to surgery. airway examination will be done which will include documentation of Modified Mallampati score. Following induction of anaesthesia, after the quick ultrasonographic measurement of upper airway parameters are done, the Macintosh laryngoscopic blade will be inserted into the patient s oral cavity and the tongue will be displaced to the left side. Cormack- Lehane grading will be noted.;To document and compare the incidence of any adverse events during the induction process, such as hypotension, bradycardia, or hypoxia.Timepoint: Assessment of Heart rate, Systolic blood pressure, Diastolic blood pressure, Mean arterial pressure will be done at baseline, 2 minutes after induction, 5minutes after induction, SpO2 will be monitored throughout.;To assess the ease of mask ventilation using Han scale of mask ventilationTimepoint: After giving induction agents during the period of preoxygenation.;Comparison of magnitude of change in upper airway parameters between propofol and ketofol groupsTimepoint: Prior to induction baseline upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to anterior commissure of vocal cord distance). Immediately following induction of anaesthesia, keeping the head in a neutral position the upper airway parameters (Tongue thickness, Hyomental distance, Depth of tongue, Skin to epiglottis distance, Skin to vocal cord distance) will be quickly measured ultrasonographically after removing the face mask. During this process the patient will be paraoxygenated via nasal cannula. | — |
Countries
India
Contacts
Public ContactDr Roshni Sarkar
Pandit B D Sharma postgraduate institute of medical sciences
Outcome results
None listed