Intubation Complication
Conditions
Keywords
Awake intubation, Nerve block, Sedation, Physician satisfaction
Brief summary
The purpose of this study is to compare intubation with nerve block with intubation with sedation in awake patients in terms of efficacy, ease, and the rate of complications and physician satisfaction
Interventions
Lidocain 2% topical injection, 0.5 - 1 cc Lidocain 4% topical injection, 3 cc Lidocain 10% topical spray , total dose 50 mg
Fentanyl 2 microgram/Kg BW IV
Midazolam 0.05 mg/kg BW IV infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Candidate for intubation with methods other than RSI * Age\>= 18 years * Patient or patient's guardian's consent
Exclusion criteria
* Need for RSI or crash intubation * Allergy to Lidocain in block group * Allergy to opioid drugs in sedation group * Allergy to midazolam in either group
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time required for intubation in seconds | From start of the intubation attempt for an average of one minutes | The interval is measured from the time that the healthcare provider attempts intubation until a successful intubation is achieved. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| physicians' perception of the difficulty of the procedure | Within an average of 30 minutes after completion of the procedure | Physicians' perception about the difficulty of the procedure is assessed using a 5-point Likert type scale (ranging from very easy to very difficult)verbally administered to the healthcare provider immediately (within 30 minutes) after completion of the intubation |
| Number of Participants with Adverse Events | From the start of the procedure until 30 minutes after the procedure is completed | Number of patients developing any of the following complications (cough, esophageal intubation) from the start of the procedure until 30 minutes after completion of the procedure. This will represent the rate of complications |
Countries
Iran