difficult laryngoscopy and difficult intubation. Complications of medical and surgical care
Conditions
Interventions
1-Subcutaneous Ketamine 0.7mg/kg
2- intravenous Fentanyl 2-4 ug/kg
3- Anesthesia of the tongue, larynx and pharynx with lidocain spray 4%.
Prevention
1-Subcutaneous Ketamine 0.7mg/kg
2- intravenous Fentanyl 2-4 ug/kg
3- Anesthesia of the tongue, larynx and pharynx with lidocain spray 4%
Sponsors
Tehran university of Medical Scioences
Eligibility
Sex/Gender
Male
Age
40 Years to 65 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria: predicted difficult airway because of laryngeal tumors with impossible airway regional blocks Exclusion criteria: history of Psychological disorders, coronary artery disease, uncontrolled hypertension, increased ICP, intracranial mass lesions, open eye injury
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Possibility of laryngoscopy. Timepoint: time of intubation. Method of measurement: successful or not successful.;Possibility of fiberoptic bronchoscopy. Timepoint: time of intubation. Method of measurement: successful or not successful.;Possibility of rigid bronchoscopy. Timepoint: no time point. Method of measurement: successful or not successful.;Possibility of Double lumen endobronchial intubation. Timepoint: Evaluation of possibility of endobronchial intubation. Method of measurement: possibility of procedure. | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamic changes. Timepoint: 3-4 times during the procedure. Method of measurement: increased heart rate and blood pressure.;Spo2. Timepoint: continuous. Method of measurement: Pulseoximetry.;Patient's cooperation. Timepoint: during the procedure. Method of measurement: Possibility of tube insertion. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMihan Jafari Javid
Tehran University of Medical Sciences
Outcome results
None listed