General Surgery
Conditions
Keywords
tracheal intubation
Brief summary
The purpose of this study is to compare the effect of the 25° head-up position versus the 55° head-up position on tolerable apnea time (TAT) after induction of general anesthesia in patients with a body mass index (BMI) of 30-40.
Interventions
Participant will be positioned at 25° angle for procedure.
Participant will be positioned at 55° angle for procedure.
Sponsors
Study design
Masking description
The person measuring and recording the study data will be blinded.
Eligibility
Inclusion criteria
* American Society of Anesthesiologists (ASA) physical status I-III * Body Mass Index (BMI) of 30-40 * Scheduled for an elective surgery that requires tracheal intubation
Exclusion criteria
* Patients with abnormalities of the upper airway that require awake tracheal intubation * Asthma * Chronic obstructive pulmonary disease * Congestive heart failure * Pregnant patients
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tolerable Apnea Time (TAT) | Time between start of induction of general anesthesia (SpO2 100%) to decline of SpO2 94%, up to eight minutes | Measure of the TAT between groups to determine if the TAT is a function of the participant's position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of time to intubation (TTI) | Time between start of the tracheal intubation procedure to completion of tracheal intubation, up to 2 minutes | — |
| Peripheral arterial hemoglobin oxygen saturation (SpO2) trough | Time until SpO2 decreased to 92%, up to 8 minutes | Measure of the rebound SpO2. It is the lowest SpO2 reading reached subsequent to start of mechanical ventilation at the SpO2 value of 94% and it represents final completion of SpO2 decline. |
Countries
United States