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Comparison of windpipe characteristics by ultrasound versus conventional measurements of neck, to predict ease of putting tube in windpipe for ventilator purpose.

Completed
Conditions
Medical and Surgical,
Registration Number
CTRI/2018/02/011745
Lead Sponsor
Fortis Hospital
Brief Summary

pre anesthetic evaluation of the airway will be done prior to the surgery. patient airway will be assessed by the conventional factors in grp 1 and by ultrasound in grp 2.

following bed side screening test used for airway assessment in grp 1 :

1. modified mallampati score

2.neck circumference.

3.Thyromental distance.

Following ultrasoun parameters used in group 2 :

1. tongue base thickness.

2.anterior neck soft tissue at the level of hyoid bone.

3.anterior neck soft tissue at the level of epiglottis.

4.anterior neck soft tissue at the level of vocal cords.

after Airway assessment, patient is induced with fentanyl 2-3mcg/kg and propofol 2mg/kg and Rocuronium 0.6mg/kg.

Direct laryngoscopy performed by senior anesthetist who will be blinded to the pre operative airway assessment  and Cormack lehane grade noted.

After intubation patient is attached to the ventilator and anesthesia is maintained by inhalational agent and fresh gas flow of 2l/min.

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
400
Inclusion Criteria
  • 1.Patients undergoing elective surgery under general anaesthesia requiring Endotracheal intubation 2.Patients of either sex in the age group of 18 – 65 years.
  • 3.ASA grades I or II.
Exclusion Criteria
  • 1.Emergency surgeries.
  • 2.ASA grades III-VI 3.Pregnant patients.
  • 4.Patients with known abnormalities or obvious malformations of the airway with head and neck trauma.
  • 5.Cervical spine pathology or patients scheduled for fibre-optic intubation.
  • 6.Uncooperative or altered sensorium patients.
  • 7.Age <18 years and >65 years.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
•Comparison of conventional bedside screening tests and Ultrasound parameters for predicting difficult intubation.Preoperative one time assessment
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fortis Hospital

🇮🇳

Chandigarh, CHANDIGARH, India

Fortis Hospital
🇮🇳Chandigarh, CHANDIGARH, India
Rumit Sood
Principal investigator
7526838508
rumitsood.111@gmail.com

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