Difficult Intubation
Conditions
Brief summary
This study compares the ascope with standard fiberscope using the nasal route of intubation in patient having sever difficult airway (having posterior one third cancer tongue with fixed mobility)
Detailed description
patient will be allocated into two group according to the type of endoscope used group (F) fibro scope group and group (A) the ambu ascope group The timer will be started (T0), when touching the fiberscope or a scope. The standard fiberscope or a scope2 will be introduced through the nostril and advanced through the vocal cords, once carina identified the time will be recorded ( T1) When correct positioning of the trachea confirmed by detection of the end-tidal co2 curve on capnography (T2).
Interventions
nasal route intubation by the device in fixed cancer tongue patients
nasal route intubation by the device in fixed cancer tongue patients
Sponsors
Study design
Masking description
patient will be under general anesthesia
Intervention model description
parallel assignment
Eligibility
Inclusion criteria
1. Adult patients of ASA physical status I and II who will be scheduled for posterior third fixed cancer tongue with severe difficult airway requiring naso-tracheal intubation 2. aged 18-70 years
Exclusion criteria
1. ASA 2 or 4 2. pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| time of successful intubation | 5 minutes | measuring time in seconds for reaching carina and time for successful intubation . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| quality of vision | 5 minutes | subjective assessment by operator |
| incidence of complications | 15 minutes | accounting number of desaturation , bleeding , hypoxia . |
| easiness of intubation | 5 minutes | subjective assessment |
| number of intubation trials | 30 minutes | counting number of intubation in each group |
Countries
Egypt