anesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients ASA I-III, aged between 18-65y, match with one of the following six criteria, undergoing elective surgery with general anesthesia will be voluntarily enrolled in this prospective study: 1. Airway obstruction by Oral, oropharyngeal or hypopharygeal and trachea neoplasm or mass; 2. Airway obstruction by cervical neoplasm or mass; 3. Airway obstruction by tumor or mass in anterior mediastinum; 4. Patients with snoreing disease and Obstructive Sleep Apnea; 5. Patients with distortion or narrowing of the larynx or trachea by cervical trauma, burning, surgery and post-radiotherapy; 6. Patients with BMI>=30 and Mallampati grade III-IV and Thyroid cartilage to mentum distance <6.0cm.
Exclusion criteria
Exclusion criteria: 1. Normal lumenal transverse area of trachea is less than 1/3 of the original by intratracheal neoplasm, or external compression from tumor or mass around trachea; 2. Respiratory distress in the sitting position due to airway obstruction; 3. Patients complicated with respiratory diseases including pneumonia, asthma, chronic bronchitis, pulmonary emphysema et al; 4. Patients with a high risk of aspiration including intestinal obstruction, full stomach, esophageal reflux; 5. Patients with history or family history of malignant hyperthermia.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| uccessful awake intubation rate;successful intubation rate after lossing consciousness;intubation failure rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| perception of satisfaction for induction and intubation in anesthesiologist;vital sign alterations during anesthesia intubation and before and after intubation;incidence of postoperative sore throat and hoarseness;degree of recall and perception of satisfaction in patients;facial expression grading scale during laryngoscope exposure and intubation , coughing and gra reaction;intubation duration; | — |
Countries
China