Other Specified Injuries of Vocal Cord, Sequela
Conditions
Keywords
hoarseness, sore throat, intubating conditions, vocal cord injuries, sevoflurane
Brief summary
Anesthesia induction and tracheal intubation can be performed with and without neuromuscular blocking agents (NMBAs). Tracheal intubation can be performed with sevoflurane instead of NMBAs; intubating conditions are similar and the incidence of vocal cord injuries are similar, too.
Detailed description
We perform tracheal intubation with propofol, remifentanil and sevoflurane; sevoflurane is administered with three dosages. During tracheal intubation intubating conditions are noted. After surgery, all patients are examined by video laryngoscopy; moreover all patients are asked for hoarseness and sore throat.
Interventions
anesthesia induction with propofol, remifentanil, and sevoflurane 1,0 MAC; afterwards tracheal intubation
anesthesia induction with propofol, remifentanil, and sevoflurane 1,2 MAC; afterwards tracheal intubation
anesthesia induction with propofol, remifentanil, and sevoflurane 1,4 MAC; afterwards tracheal intubation
Sponsors
Study design
Eligibility
Inclusion criteria
* ear-nose-throat surgery * orotracheal intubation for surgery of the ear * ASA I-III
Exclusion criteria
* obesity * allergy against the study drugs * patients with a known or suspected difficult airway * diseases of the larynx
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| incidence of vocal cord injuries | 24 hours after tracheal intubation |
Secondary
| Measure | Time frame |
|---|---|
| incidence of hoarseness | 24, 48, and 72 hours after tracheal intubation |
| incidence of soar throat | 24, 48, and 72 hours after tracheal intubation |
Countries
Germany