Sleep Apnea, Obstructive
Conditions
Keywords
sleep apnea, obstructive, intubation
Brief summary
The Pentax-AWS\_ system (AWS; Pentax Corporation, Tokyo, Japan) is a new rigid indirect laryngoscope which has an integrated tube passage function. Pentax-AWS improved the laryngeal view and facilitated tracheal intubation in patients with restricted neck motion. The purpose of this clinical trial was to evaluate the relative efficacy of the AWS laryngoscopes when used by experienced anesthetists in Obstructive Sleep Apnea Syndrome (OSAS) patients and to compare its performance with the Macintosh laryngoscope.
Detailed description
The occurrence of difficult intubation in OSAS patients is higher than in age and sex matched control patients. The Pentax-AWS\_ system (AWS; Pentax Corporation, Tokyo, Japan) is a new rigid indirect laryngoscope which has an integrated tube passage function. Several studies reported that Pentax-AWS improved the laryngeal view and guide also facilitated rapid, easy and reliable tracheal intubation in patients undergoing elective surgery. The purpose of this clinical trial was to evaluate the relative efficacy of the AWS laryngoscopes when used by experienced anesthetists in OSAS patients and to compare its performance with the Macintosh laryngoscope. The investigators hypothesized that, in comparison with the Macintosh, AWS would reduce intubation difficulty, as measured by the intubation difficulty scale (IDS) score.
Interventions
Each group of patients will be intubated using the Macintosh laryngoscope or Pentax-AWS.
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA physical status 1-3 patients, * aged 20years or older, * undergoing uvulopalatopharyngoplasty(UPPP) surgery under general anesthesia for a polysomnography-confirmed diagnosis of OSAS.
Exclusion criteria
* unstable teeth or mouth opening of \< 18mm * Patients with any pathology of the neck, * upper respiratory tract or upper alimentary tracts, * risk of pulmonary aspiration of gastric contents, * a history of relevant drug allergy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intubation Difficulty Scale(IDS) score | After the end of intubation (within 10 minute after the end of intubation.) | IDS score will be recorded within 10 minute after the end of intubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cormack and Lehane grade | After the end of intubation (within 10 minute after the end of intubation.) | Cormack and Lehane grade will be recorded within 10 minute after the end of intubation. |
Countries
South Korea