A clinical trial to study the difference between fibre optic bronchoscope intubation and C Mac video laryngoscopic intubation in cervical spine injury patient under awake conditio
Phase 2
- Conditions
- Health Condition 1: S129- Fracture of neck, unspecifiedHealth Condition 2: O- Medical and SurgicalHealth Condition 3: S131- Subluxation and dislocation of cervical vertebraeHealth Condition 4: S130- Traumatic rupture of cervical intervertebral disc
- Registration Number
- CTRI/2024/04/065456
- Lead Sponsor
- Dr. Thalishetti Yugala
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- ot Yet Recruiting
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1. ASA 1 and 2 patients
2. Patients above 18 years and less than 70 years
3. Patients with BMI less than 30
4. Patients undergoing elective surgeries
5. Patients with traumatic cervical spine injury with neck collar
Exclusion Criteria
1. Patient who do not consent for study
2. Patients at risk of aspiration
3. Emergency surgeries
4. Patients with high risk for surgery like cardiac condition
5. Patients with local anaesthetic allergy
6. Patients with delirious symptoms, cognitive dysfunction
7. Patients with other cervical spine diseases
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To compare the success of intubation in first attempt with C-MAC video laryngoscope versus fibreoptic bronchoscope for awake intubation under ketofol sedation in cervical spine injury: immobilised with cervical collarTimepoint: Time for successful intubation(T1+T2) T1- time for visualisation of glottis <br/ ><br>T2- from visualisation of glottis to confirmation of intubation by capnography
- Secondary Outcome Measures
Name Time Method Ease of intubation by Likert scaleTimepoint: 1- extremely easy <br/ ><br>2- easy <br/ ><br>3- somewhat easy <br/ ><br>4- not very easy <br/ ><br>5- most difficult;Haemodynamic changesTimepoint: Heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure, saturation at baseline, 5 minutes, 10 minutes before intubation, 0 minutes, 5 minutes, 10 minutes, 15 minutes after intubation;Ramsay sedation scoreTimepoint: 1- anxious and agitated or restless or both <br/ ><br>2- cooperative, oriented and tranquil <br/ ><br>3- responding to commands only <br/ ><br>4- brisk response to loght glabellar tap or loud auditory stimulus <br/ ><br>5- sluggish response to light glabellar tap or loud auditory stimulus <br/ ><br>6- no response to stimulus