Airway Anaesthesia for awake orotracheal fibreoptic intubation. A randomized trial comparing two nerve block techniques

Sanjay Gandhi Post Graduate Institute of Medical Sciences0 个研究点目标入组 120 人开始时间: 待定最近更新: 2023年1月9日

试验速览

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•18-65 years
•Patients of either gender
•ASA I and II patients
•Cervical spine pathology (cervical bone fractures, ligament instability, degenerative disc diseases, tumours, clinically relevant myelopathy) undergoing elective surgery of the cervical spine
•Weight over 40 kgs

•Patients who declined the awake fibreoptic procedure
•Contraindications to the administration of glycopyrrolate (e.g. low cardiac output syndrome or clinically relevant tachycardia), midazolam or local anaesthetic agent;
•Mental disability or forms of delirium;
•Polytrauma patients and/or oro/nasal/pharyngeal bleeding;
•Contraindication to the performance of translaryngeal injection (thyroid swelling, local infection, or laryngeal disorder). Pregnant patients, those with coagulopathy and those on anticoagulants or antiplatelet agents
•Previous history of fibreoptic intubations or redo cervical spine surgeries
•Patients requiring AFOI but lesions on posterior tongue, pharyngeal or laryngeal areas

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