A Prospective Randomized Comparison Of Videolaryngoscopy Alone With Videolaryngoscope-assisted fibreoptic Intubation In Anticipated Difficult Airways Of Maxillofacial Trauma
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- First pass intubation success rate
研究概览
简要总结
Airway management of patients with maxillofacial trauma is challenging due to the presence of injury, edema, distorted facial anatomy and associated bleeding. Previous literature is sparse with regards to the use of video-assisted fiberoptic intubation (VAFI) in difficult airways, with most of the prior studies that compare VAFI with videolaryngoscope, being either inconclusive or having been done on a cadaver model and not a real patient. We have thus planned this study with the aim of comparing the VAFI technique with standard videolaryngoscopy for securing the nasotracheal tube in patients with anticipated difficult airways following maxillofacial trauma. We hypothesize that VAFI will aid in increasing the first-attempt intubation success rate as well as decrease the risk of nasal bleeding in patients with maxillofacial trauma requiring nasotracheal intubation
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •patients with maxillofacial trauma, scheduled for fracture fixation under general anaesthesia (GA) and requiring nasotracheal intubation.
排除标准
- •patients with history of nasal obstruction or previous nasal surgery, history of nasal disease, including epistaxis, history of known coagulation abnormalities, morbid obesity, and patients who refuse consent.
结局指标
主要结局
First pass intubation success rate
时间窗: Baseline
次要结局
- 1. Incidence of epistaxis through the nostril(2. Severity of bleeding through the nostril)
研究者
Dr Kajal Jain
Postgraduate Institute of Medical Education and Research