Health Condition 1: C320- Malignant neoplasm of glottis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Adult 18-70 years patients 2.Stable cardiovascular disease 3.Elective ENT surgery with the use of suspension laryngoscopy 4.Surgical duration upto 60 min
Exclusion criteria
Exclusion criteria: 1.Refusal to consent 2.ASA 3/4 3.Any cardiomyopathy or severe ventricular dysfunction 4.Presence of any predictor of difficult intubation 5.Contraindication to the use of local anaesthetics or regional anaesthesia placement 6.preoperative hoarseness of voice or voice change 7.Local site infection,bleeding,diathesis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the mean blood pressure during suspension laryngoscopy by using ultrasound guided superior laryngeal nerve blockTimepoint: Pre suspension laryngoscope insertion to 1 minute post fixation of suspension laryngoscopy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Change in systolic blood pressure,diastolic blood pressure,heart rate 2.Change in mean blood pressure/heart rate at preextubation and postextubation 3.Total intraoperative propofol consumption to maintain BIS index 40-60 4.Total duration of suspension laryngoscopy 5.Use of adjuvant antihypertensives to control blood pressure 6.Incidence of post operative sore throat 7.QoR-15 scores 8.Any adverse event related to procedure like chocking ,coughing,aspirationTimepoint: Post fixation of suspension laryngoscope at 1,3,5 minute During procedure every 5 minute ,pre extubation and post extubation at 1,3,5 minute | — |
Countries
India
Contacts
Postgraduate Institute of Anaesthesia and Intensive Care