Respiratory Surgery airway management
Conditions
Interventions
group A
group B
Sponsors
Faculty of Medicine
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: American Society of Anesthesiologists status I¿III. Scheduled to undergo various types of elective surgery requiring orotracheal intubation
Exclusion criteria
Exclusion criteria: ophthalmic surgery patients with raised intraocular pressure, The need for endotracheal tubes that are armored, cranial-facing or caudal-facing, as indicated by the type of surgery, Inadequate mouth opening, Need for rapid sequence induction, Risk of gastric acid aspiration, Suspicion of difficult intubation ( mallampati class>I, interincisor distance<4cm, thyromental distance<6.5 cm, limited neck extension), History of an impossible or difficult intubation, Cervical spine pathology or neck flexion limitaion. Patients with hypertension and/or on ¿ blocker therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The first attempt success rate (correct placement of the ETT within the first 60 seconds and before desaturation to < 94%) ;The intubation time (total time from inserting the laryngoscope between the central incisors till appearance of capnography trace). ;Systolic, diastolic and mean arterial blood pressure, heart rate, intraocular pressure and entropy: ;The time to best laryngoscopic view (the time from inserting the laryngoscope between the central incisors till achieving the best view for endotracheal intubation). The time to best laryngoscopic view (the time from inserting the laryngoscope between the central incisors till achieving the best view for endotracheal intubation). ;Serum epinephrine, glucose and cortisol Serum epinephrine, glucose and cortisol ;POGO score;POGO score;POGO score;POGO score | — |
Secondary
| Measure | Time frame |
|---|---|
| esophageal intubation;need for assistance (external laryngeal manipulation, gum elastic bougie and/or using other laryngoscope blade size), ;number of attempts till correct intubation ;complications during laryngoscopy & intubation (bleeding in the larynx , blood staining of the laryngoscope blade, injuries in the oral cavity (tongue, lips and teeth) ;complications after extubation (hoarseness of voice, airway injuries, swelling of the larynx , laryngospasm ) ;esophageal intubation;esophageal intubation | — |
Countries
Egypt
Contacts
Public Contactsabry abdallah
lecturer in aneaesthesia and intesnive care
Outcome results
None listed