Vocal Polyp
Conditions
Keywords
Laryngomicrosurgery, Nonintubated deep paralysis, Transnasal Humidified Rapid-insufflation Ventilatory Exchange
Brief summary
Laryngomicrosurgery requires deep paralysis and general anesthesia to finish the procedure. After the procedure, patients need a long time to recover. In the present study, with the support of the transnasal humidified rapid-insufflation ventilatory exchange, laryngomicrosurgery would be finished under nonintubated deep paralysis (NIDP) general anesthesia. In this case series study, the investigators will test the safety and feasibility of such a technique.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* elective polypectomy of unilateral vocal cord * age between 18 to 40 * be able to communicate * estimated operation time less than 15min * ASA I-II * Agree to sign written informed consent
Exclusion criteria
* pregnancy or breastfeeding women * severe gastrointestinal reflex disease * neuromuscular disease * body mass index(BMI)\>30 * predictable difficult airway. * allergy to medicine would be used in the present study including propofol, remifentanil or sugammadex
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate of laryngomicrosurgery | From the day before surgery till 2 days after surgery or before discharge | complete the surgery within 15min,nonintubated,remove the polyp entirely,recover completely after surgery, no major adverse event |
Secondary
| Measure | Time frame |
|---|---|
| Total days that participants stay in hospital | Through study completion, an average 2 days. |
Countries
China