Anesthesia for Awake Fiberoptic Intubation

Anesthesia for Awake Fiberoptic Intubation in Patients With Cervical Instability - Comparison of Translaryngeal Injection and Spray as You go-Technique

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT00948350

Enrollment

120

Registered

2009-07-29

Start date

2009-01-31

Completion date

2014-01-31

Last updated

2015-04-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Intubation

Keywords

cervical instability, awake intubation, laryngeal anesthesia

Brief summary

This is a prospective, comparative, randomized, monocentric, clinical open study, to compare two anesthesia techniques (translaryngeal injection vs. spray as you go) in patients with cervical instability with regard to technical modalities and quality of fiberoptic awake intubation.

Detailed description

In patients with cervical instability anesthesia induction and conventional intubation are associated with the risk of neurological harm. Therefore the method of choice for anesthesia induction is the fiberoptic awake intubation. This method allows to place the ventilation tube without movement of the cervical spinal cord. This procedure is very uncomfortable for the patient and needs the application of topic and/or systemic anesthetics. With this clinical study we will compare two established techniques for local laryngeal anesthesia with regard to the quality of technical modalities and postoperative outcome.

Interventions

PROCEDUREawake intubation

two anesthesia techniques

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* patients with cervical instability undergoing elective decompression of cervical spine

Exclusion criteria

* patient refused participation * contraindications for awake intubation techniques (e.g. nasal bleeding, anatomical disorders) * patient under alcohol or drugs * emergency surgery

Design outcomes

Primary

Measure	Time frame	Description
patients satisfaction with anesthesia	up to two weeks after hospital admission	participants will be followed for the duration of hospital stay, an expected average of 2 weeks

Secondary

Measure	Time frame
pain after anesthesia	Change from Baseline in pain after anesthesia at end of hospital stay

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 4, 2026