Health Condition 1: C00-C14- Malignant neoplasms of lip, oral cavity and pharynx Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patient posted for major oral cancer surgeries 2. Patients requiring nasal intubation under general anaesthesia for oral surgeries 3. Age- 18 years and above. 4. American Society of Anaesthesiologists (ASA) grade- I & II
Exclusion criteria
Exclusion criteria: 1.Tracheostomised patients 2.Emergency surgery 3.Refusal to give consent 4.Bleeding diathesis 5.Recent history of epistaxis or nasal surgery 6.Patient having external nasal deformity such as deviated nasal septum, turbinate hypertrophy, or nasal obstruction 7.Any contraindication to nasal intubation 8.Re-do surgery 9.Bilateral turbinate hypertrophy (CT scan)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence of epistaxis due to Portex vs Northpole ETT following NTI.Timepoint: Post operative Day 1 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To compare the ease of insertion of the two tubes. 2. Total time taken for intubation [Laryngoscopy to first End Tidal Carbon Dioxide (EtCO2) trace] 3. Nasal bleeding during surgery, after surgery, and post-extubation 4. To observe secondary complications such as kinking, occlusion, dislodgement, ease of suctioning, anosmia, nasal stuffiness and hoarseness of voice post-surgery. 5. To compare surgeon satisfaction with surgical exposure for both tubes. 6. Nasal endoscopic assessment of nasal injury and its extent.Timepoint: Post operative Day 1;7. Alae nasi necrosis during follow-up 1 week after the surgery or at the time of discharge (whichever is earlier), in the Out Patient Department (OPD). Timepoint: After 1 week | — |
Countries
India
Contacts
Tata Memorial Hospital