1. Predicted non-difficult airway patients undergoing elective surgery under general anesthesia 2. new anesthesia trainees in first three months of an academic year 1. Predicted non-difficult airway patients 2. New anesthesia trainees
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion criteria of patients 1. Predicted non-difficult airway patients 18-65 years old undergoing elective surgery under balanced general anesthesia with oral endotracheal intubation 2. ASA physical status I-II 3. Operation time > 1 hour Inclusion criteria of trainees 1. New anesthesia trainee in first 3 months of academic year at Srinagarind hospital
Exclusion criteria
Exclusion criteria: 1. Risks of pulmonary aspiration such as NPO time less than 8 hours conditions with gastroparesis (DM, ESRD, etc.) 2. Abnormal airway anatomy 3. Requiring awake intubation 4. Allergies to study drugs 5. Impaired renal function (GFR<60 ml/min/1.73m2) 6. Impaired liver function such as patients with cirrhosis (all Child-Pudge stage), elevated liver enzymes, albumin less than 3.5 g/dl, patients with jaundice (TB>2 mg/dL) 7. Neuromuscular disorders 8. Predicted difficult airway such as obesity (BMI more than 30 kg/m2), Mallampati class 3-4, history of obstructive sleep apnea, Head and neck deformities eg. limited neck movement or jaw protrusion, presence of beard, lack of teeth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expired tidal volume 1 minute A record from anesthetic machine | — |
Secondary
| Measure | Time frame |
|---|---|
| Incident 1 minute Cannot ventilate cannot intubate | — |
Countries
Thailand
Contacts
University