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Comparison of ketamine-dexmedetomidine nebulisation versus intravenous route for awake fibreoptic intubatio

Not Applicable
Conditions
Health Condition 1: - Health Condition 2: 3- Administration
Registration Number
CTRI/2020/11/029005
Lead Sponsor
Chaitra
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

1. Pateints giving written informed consent will be taken.

2. Aged between 18-60years of both sex with ASA physical status I and II.

3. Patients with anticipated difficult airway undergoing elective surgical

procedures.

Exclusion Criteria

Any type of A-V block on electrocardiogram (ECG), heart failure, coronary heart disaese.

liver cirrhosis, thrombocytopenia and coagulopathies

severe bradycardia

current psychiatric disorder, history of seizures

any respiratory disorders

history of epistaxis, nasal pathology

known drug allergy to the study drugs

ASA III and ASA IV

pregnant female

Emergency procedures

Patient refusal

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Time required for intubation between group receiving dexmedetomidine+ketamine through intravenous route and group receiving dexmedetomidine+ketamine through nebulisation. <br/ ><br>Timepoint: Time required for intubation is calculated when first reading obtained by capnograph after <br/ ><br> entotracheal intubation. That is after 10mins of baseline till first capnograph reading. <br/ ><br>
Secondary Outcome Measures
NameTimeMethod
adverse eventsTimepoint: postoperative period;cough severityTimepoint: while passing the fibreoptic bronchoscope;ease of intubationTimepoint: while passing the endotracheal tube through vocal cords;hemodynamic changes (HR,SBP,DBP,MAP,ECG,SPO2)Timepoint: baseline,2mins,4mins,6mins,8mins,10mins,fibreoptic through nostril,ETT through nasopharynx,ETT through glottis,5mins after intubation and 10mins after intubation;patient toleranceTimepoint: whicle performing the procedure;recall of events and discomfort during procedureTimepoint: postoperative period;the sedation scoreTimepoint: at the end of trial drug administration
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