Parasagittal versus Transverse approach of Ultrasound-guided Superior Laryngeal Nerve Block for Awake Fiberoptic Intubation: a randomised controlled trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- To assess the quality of airway anesthesia will be assessed, just during intubation, based on a 5 point scale of coughing and /or gagging response, by an observer, who is blinded to the technique of block
研究概览
简要总结
Superior laryngeal nerve blocks play a crucial role in optimising conditions for Fiberoptic- guided endotracheal intubation. While ultrasound- guided transverse approach of superior laryngeal nerve block is currently the standard technique, it often provides suboptimal visualisation of target structures. As a result, recent research interest has shifted towards a novel Parasagittal approach of ultrasound- guided superior laryngeal nerve block, which may offer improved anatomical clarity and block efficacy.
This study aims to compare the quality of anesthesia for intubation and effectiveness of the SLN block between the traditional transverse versus the emerging Parasagittal approach under Ultrasound- guidance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Outcome Assessor Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients with anticipated difficult airway requiring Fiberoptic intubation
- •Patients weighing 45-80 kgs
- •ASA (American Society of Anaesthesiologists) grade I or II
- •Anticipated difficult airway which includes: limited movement of cervical vertebrae, airway insufficiency/ obstruction, maxillofacial deformity or trauma, small mandibular or mouth opening of less than 3 cms, modified Mallampatti class III or IV.
排除标准
- •Patient refusal
- •Patients with infection at puncture site
- •Patients with allergy to local anaesthetic drugs
- •Patients on antiplatelet therapy
- •Patients having bleeding or coagulation disorder.
结局指标
主要结局
To assess the quality of airway anesthesia will be assessed, just during intubation, based on a 5 point scale of coughing and /or gagging response, by an observer, who is blinded to the technique of block
时间窗: During endotracheal intubation
次要结局
- 1. Tube tolerance score(2. Mean arterial pressure (MAP) & Heart rate (HR))
研究者
Dr. Ishita Sinha
Kalinga Institute of Medical Sciences and Pradyumna Bal Memorial Hospital