Colon Cancer, Gastric Cancer, Patients With Uncertain Difficult Airway, Prostatic Cancer
Conditions
Keywords
THRIVE, Uncertain difficult airway, Reversible induction strategy
Brief summary
This study would explore the safety and feasibility of a reversible induction strategy for uncertain difficult airway. This reversible induction strategy would include high flow nasal canular oxygenation support, short-term effect anesthetic including Propofol and Remifentanil for sedation and analgesia and Sugammadex would be used for reverse the muscle relaxant.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* \>18 years old,\<65 years old * Signed informed consent * Undergoing selective operation ( time of operation is over two hours) * ASA classification I-II * Mallampati classification 3-4 * suspicious difficult airway, but the anesthetists decide to try to rapid induction
Exclusion criteria
* Patients with several dysfunctions of liver, kidney or heart) * Patients with a full stomach or have other risk factors of reflux aspiration * Any medicine was taken before surgery, which might enhance or mitigate the effects of muscle relaxant * Infection of the mouth or nose * Allergy history of any medicine which would be used in this study * Pregnant and lactating women * Patients with neuromuscular disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Successful rate of reversion | From the beginning of induction to 15min later |
Secondary
| Measure | Time frame |
|---|---|
| TOFr 0.9 reversion time | From the beginning of induction to 15min later |
| BIS 80 reversion time | From the beginning of induction to 15min later |
| Tidal volume 6-8ml tidal volume 6-8ml/kg reversion time | From the beginning of induction to 15min later |
| consciousness reversion time | From the beginning of induction to 15min later |
Countries
China