Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Intubating laryngeal mask airway guided tracheal intubation: After induction of general anesthesia, tracheal intubation will be performed using an intubating laryngeal mask airway. The
Sponsors
Dr Neel Aghera
Eligibility
Inclusion criteria
Inclusion criteria: Patients with American Society of Anesthesiologists physical status I or II. Patients with radiologically confirmed cervical spine instability. Patients with inter incisor distance more than 2.5 cm. Patients scheduled for elective cervical spine surgery. Patients providing written informed consent.
Exclusion criteria
Exclusion criteria: Patients requiring emergency airway management or with unstable vital parameters. Patients with pan facial trauma or craniofacial deformity. Patients with upper airway distortion due to infection, tumour or injury. Patients with known bleeding disorders. Patients with significant retrognathia or submandibular swelling. Pregnant patients. Patients with body mass index more than 30 kg per square meter.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time required for successful tracheal intubation, defined as the interval from insertion of the airway device into the oral cavity to the appearance of a square-wave capnographic trace confirming correct endotracheal tube placement, measured in seconds. Number of attempts required for successful tracheal intubation First attempt success rate Timepoint: During intubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic parameters including heart rate and mean arterial pressureTimepoint: Baseline, post-induction, and at 0, 3, 5, 10, and 15 minutes after intubation;Ease of insertion graded as very easy, easy, difficult, or failedTimepoint: During intubation;Incidence of complications including bleeding, laryngospasm, and desaturationTimepoint: During and immediately after intubation | — |
Countries
India
Contacts
Public ContactDr Neel Aghera
Geetanjali Medical College and Hospital
Outcome results
None listed