Comparison of Airway Management Techniques in Functional Endoscopic Sinus Surgery, Deviated Nasal Septum, Osteoma of the Paranasal Sinuses, Rhinosinusitis With Polyps
Conditions
Keywords
Laryngeal mask airway, Tracheal intubation, Airway anesthesia, FESS
Brief summary
The study aims to identify the advantages and disadvantages of each of the three methods of airway management during FESS.
Interventions
DRUGanesthesia of the respiratory tract with lidocaine
administration of 4% lidocaine during tracheal intubation
DEVICEtracheal intubation
intraoperative tracheal intubation
DEVICElaryngeal mask placement
intraoperative placement of a laryngeal mask
Sponsors
St. Petersburg State Pavlov Medical University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* general anesthesia during fess
Exclusion criteria
* history of mental and neurological diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| cough severity and frequencies | 15 minutes after waking up | Coughing was scored as mild (single cough), moderate (\>1 episode of un- sustained coughing lasting 5 seconds), or severe (sustained, \>5 seconds, bouts of coughing). Target values - mild cough. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Richmond agitation-sedation scale (RASS) | 15 minutes after waking up | A 10-level scale ranges from +4 (extreme aggression) to -5 (no arousal at all). The target level for most patients is 0 (quiet alertness) or mild sedation (-1/-2). |
| The Ramsay scale | 15 minutes after waking up | The Ramsay scale consists of 6 levels. Level 1: the patient is agitated and restless. Level 6: the patient is asleep and unresponsive. Target values for the study are levels 2-3. |
Countries
Russia
Outcome results
None listed