Difficult Intubation, Difficult Mask Ventilation
Conditions
Brief summary
C-MAC- Video Stylet is a completely new type of video endoscope. It combines the advantages of both rigid and flexible intubation endoscopes.
Detailed description
C-MAC-VS can be connected easily to the same C- MAC monitor and Pocket Monitor without requiring any additional light source and camera. This device is great for cases with limited mouth opening, airway obstruction and difficult intubation.
Interventions
The first group (VS group) will include patients undergoing awake intubation using the C-MAC VS
The second control group (FOB group) will include patients undergoing awake intubation using the flexible fibreoptic bronchoscope.
Sponsors
Study design
Intervention model description
The patients will be randomly assigned into two equal groups using computer-generated randomization technique. The first group (VS group) will include patients undergoing awake intubation using the C-MAC VS. The second control group (FOB group) will include patients undergoing awake intubation using the flexible fibreoptic bronchoscope.
Eligibility
Inclusion criteria
* patients with BMI ≥ 30 kg/m2, * presence of any predictors of difficult intubation; * Mallampati score \> =3; * inter-incisor distance \< 3 cm; * thyromental distance \< 6 cm; * neck extension \< 80°from neck flexion; * cervical spine instability; * history of difficult endotracheal intubation or difficult mask ventilation
Exclusion criteria
* patients have increased risk of pulmonary aspiration; * have significant medical diseases in term of cardiac, respiratory, hepatic, renal,
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the time required for a wake intubation | 10 minutes | assess the time required for a wake intubation using C-MAC VS versus FOB in patients with anticipated difficult airway. |
Countries
Egypt