burn patients with difficult airway
Conditions
Interventions
one:DEX + traditional surface anesthesia
two:DEX + modified SAYGO techology
three:SEV+ modified SAYGO techology
Sponsors
Department of Anesthesia, Southwest Hospital, Army Military Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: (1) Aged 18-70 years old; (2) ASA I-II was evaluated before operation; (3) Scar formation after head and neck burn; (4) Pharyngeal structure: improved Mallampati grade III-IV; (5) Opening degree: the distance between the upper and lower incisors when the maximum opening is less than 3cm, or less than the two transverse fingers of the examiner; (6) The distance between the nail and chin is the distance from the upper edge of the nail cartilage notch to the tip of the mandible when the head is in the fully extended position. The distance between the nail and chin is less than 6cm or less than the width of the three transverse fingers of the examiner; (7) Temporomandibular joint mobility: the patient could not make the upper and lower incisors aligned or the lower lip could not bite the upper lip completely; (8) Head and neck mobility: chin can't touch sternum or extend neck; (9) Volunteer to participate in the study and sign informed consent. Meeting above (1) (2) (3) (9) and any one of (4) (8) can be included in the study.
Exclusion criteria
Exclusion criteria: (1) Patients with heart disease and hypertension; (2) Patients with respiratory insufficiency, pulmonary infection and COPD; (3) Patients with severe internal organ injury; (4) The researchers think other reasons are not suitable for clinical researchers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hemodynamics and oxygenation parameters;Endotracheal intubation;Use of local anesthetics;Main outcome measures; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative complications;Whether the patient has memory during tracheal intubation.;The satisfaction degree of patients with tracheal intubation after operation.; | — |
Countries
China
Contacts
Public ContactKaizhi Lu
Department of Anesthesia, Southwest Hospital, Army Military Medical University
Outcome results
None listed