Airway Complication of Anesthesia
Conditions
Keywords
Suspected Difficult Intubation
Brief summary
The aim of this study is to evaluate the effect of ultrasound guided technique for block of internal branch of superior laryngeal nerve in surgical patient in comparison to blind anatomical technique.
Detailed description
Airway anesthesia is pivotal for successful awake intubation provided either topically or by nerves blocks. Airway blocks are technically harder to perform with more complications possibilities. However, in experienced hands, they can be useful as they provide better intubating conditions.
Interventions
evaluate the effect of ultrasound guided technique for block of internal branch of superior laryngeal nerve
Sponsors
Study design
Eligibility
Inclusion criteria
1. American Society of Anesthesiologists ( ASA ) physical status I and II. 2. Age between 40-60 years. 3. Modified Mallampati class III-IV .
Exclusion criteria
1. Local pathology of the neck. 2. Bleeding diathesis. 3. Allergy to local anesthetic agent. 4. Intellectual impairment. 5. Psychiatric disease. 6. Body mass index ≥30 kg/m2.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| assessment the quality of airway anesthesia | Up to 2 years post baseline | The Quality of Airway anesthesia will be graded as: 0 = no coughing or gagging in response to intubation, 1 = mild coughing or gagging that will not hinder intubation, 2 = moderate coughing or gagging that will interfere minimally with intubation,3 = severe coughing or gagging that make intubation difficult and 4 = very severe coughing or gagging that will require additional local anesthetic or change in technique to achieve successful intubation. |
Countries
Egypt