Hypnosis to Perform Awake Intubation
- Conditions
- Nasal Obstruction
- Interventions
- Procedure: laryngoscopy under hypnosis
- Registration Number
- NCT02513511
- Lead Sponsor
- University of Lausanne Hospitals
- Brief Summary
Awake intubation is a recommended safety procedure in specific cases where the intubation or ventilation before general anesthesia is at risk.
Numerous techniques to allow awake intubation have been described, such as pure awake technique, local anesthetics or intravenous sedation for example.
Hypnosis is used for various operating room techniques and surgeries. The investigators aim to analyze the feasibility of awake laryngoscopy and intubations on patients placed under hypnosis alone.
- Detailed Description
Awake intubation is a recommended safety procedure in specific cases where the intubation or ventilation before general anesthesia is at risk.
Numerous techniques to allow awake intubation have been described, such as pure awake technique, local anesthetics or intravenous sedation for example.
Hypnosis is used for various operating room techniques and surgeries. The investigators aim to analyze the feasibility of awake laryngoscopy and intubations on patients placed under hypnosis alone.
Once patient will consent to be enrolled in the study, the same physician, trained in hypnosis, will accompany the patient in the operating room and place him into a hypnotic state. Once this hypnotic state is achieved, an oro-tracheal laryngoscopy will be performed with an Airtraq videolaryngoscope by an experienced anesthetist, specialised in the management of the difficult airway. If conditions allow it, the laryngoscopy will be followed by an oro-tracheal intubation.
A questionnaire assessing objective and subjective criteria from the patient and from the airway specialist will be collected.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
- adults
- american society of anesthesiology classification 1-3
- understanding of french language
- history of difficult intubation
- patient refusal
- deafness
- uncomfortable with french language understanding
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Hypnosis laryngoscopy under hypnosis the investigators will put the patient into a hypnotic state and analyze laryngoscopy under hypnosis, followed by intubation.
- Primary Outcome Measures
Name Time Method Number of participants in which laryngoscopy is possible under hypnosis 60 minutes laryngoscopy is feasible under hypnosis alone
- Secondary Outcome Measures
Name Time Method Number of participants in which intubation is possible under hypnosis 60 minutes intubation is feasible under hypnosis alone
comfort assessed by patient 60 minutes assessment of comfort on scale 1-5
comfort assessed by doctor 60 minutes assessment of comfort on scale 1-5
Trial Locations
- Locations (1)
Dpt of Anesthesiology, University of Lausanne CHUV
🇨🇭Lausanne, VD, Switzerland