To see the vocal cord movements following thyroid surgeries by using three different laryngoscopes

Not yet recruiting

• Conditions: Other intraoperative and postprocedural complications and disorders of respiratory system, not elsewhere classified, (2) ICD-10 Condition: E018||Other iodine-deficiency related thyroid disorders and allied conditions,

• Registration Number: CTRI/2020/11/029116
• Lead Sponsor: Sindhuja Jillella

Brief Summary

:Injury to the nerves following thyroidsurgery is more common among the complications evaluated. Accurate and timelyevaluation of vocal cord function relieves the stress of both surgeon and anesthesiologistalong with optimizing ongoing management. Conventional direct laryngoscopy isthe commonly used tool for vocal cord assessment during extubation in thyroidsurgeries.Videolaryngoscopes, the new entrant in the airwayarmamentarium, are not well researched as an equipment to prognosticate extubationin thyroid surgery. Appropriate visualization and assessment of vocal cordsduring extubation with videolaryngoscopes can be useful for record keeping anddocumentation. This study was therefore conducted to compare the conventionaldirect laryngoscopy with prototypes of channeled and non-channeledvideolaryngoscopes – Airtraq and McGrath respectively for extubation in thyroidsurgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-11-20
• Last Update Posted: 2020-12-11

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

ASA grade 1 and 2 Thyroid surgeries Normal airway parameters.

Exclusion Criteria

Anticipated difficult postop laryngoscopy (as assessed at the time of intubation) Pregnancy Anticipated difficult intubation Uncontrolled diabetics and hypertensives Obesity or history of obstructive sleep apnea.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Compare laryngoscopic view, vocal cord mobility between Macintosh laryngoscope, McGrath and Airtraq videolaryngoscopes	vocal cord mobility comparison between Macintosh, McGrath and Airtraq videolaryngoscopes at the time of extubation

Secondary Outcome Measures

Name	Time	Method
time taken for visualizing cords	from introduction of laryngoscope into patient’s mouth, till complete visualization of vocal cords followed by removal of scope
patient reactivity score	extubation
patient comfort	Ramsay sedation scale at extubation,10 min20 min ,30 min thereafter
complications like laryngospasm	after extubation

Trial Locations

Locations (1)

Nizam Institute Of Medical Sciences; 🇮🇳 Hyderabad, TELANGANA, India

Nizam Institute Of Medical Sciences

🇮🇳Hyderabad, TELANGANA, India

Dr J Sindhuja

Principal investigator

8466900961

sindhujajillella@gmail.com