Comparision of video laryngoscope with routine laryngoscope for nasal intubation.

Completed

• Conditions: Fracture of malar, maxillary and zygoma bones,

• Registration Number: CTRI/2020/05/025196
• Lead Sponsor: HSK hospital

Brief Summary

**1.** **Title of the project:**COMPARISION OF KING VISION VIDEO LARYNGOSCOPE WITH MACINTOSH LARYNGOSCOPE FOR NASOTRACHEAL INTUBATION: A RANDOMIZED CONTROL STUDY**.**

Securing the patients airway is essential in general anaesthesia. Airway management problems constitutes about 17 % of anaesthesia closed claims, with difficult intubation being the most common at a rate of 5%. Problems like delayed intubation, misplaced tracheal tube or airway trauma are frequently encountered in outpatient setting and can cause death or brain damage.

Video laryngoscopes have been proven useful for intubating patients with difficult airway. With camera and light source on the tip of its blade, the king vision video laryngoscope (KVVL) provides indirect glottis view without needing the align the oral-pharyngeal-tracheal axis.

Naso-tracheal intubation is commonly practiced in patients undergoing oro-maxillofacial surgery to provide a secure airway undergoing and good operation field.

This allows less tissue damage during laryngoscopy, leading to KVVL’s successful use in awake intubations.

Several studies have reported that KVVL provide better glottis views in comparison with other laryngoscopes when used by novice personnel.

It remains unclear however whether these results can translate into higher intubation success rates or shorter time to intubation when KVVL is used by experienced anaesthesiologists, hence we conduct this study to compare KVVL and Macintosh laryngoscope for nasotracheal intubation.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-05-29
• Last Update Posted: 2021-05-12
• Study Completion: 2021-06-29

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• 1.patients posted for elective maxillo facial and ent surgeries under general anaesthesia for nasotracheal intubation.
• 2.patient belongs to ASA 1 and 2 3.patient with age 20-65years.

Exclusion Criteria

1.Patients refusal to participate in the study 2.Patients with limited mouth opening of less than 3cm 3.History of documented difficult tracheal intubation 4.Cervical spine instability 5.Chronic suppurative sinusitis 6.Ankylosis of temporomandibular joint 7.Nasal bone fractures.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To compare the total intubation time and each time interval as follows,	total time for intubation and each time intervals will be measured during the intubation.
time A- placement of the nasotracheal tube from selected nostril to oropharynx;	total time for intubation and each time intervals will be measured during the intubation.
time B- use of devices to view the glottic opening;	total time for intubation and each time intervals will be measured during the intubation.
time C- nasotracheal tube advanced from oropharynx into trachea and removal of the scope form oral cavity.	total time for intubation and each time intervals will be measured during the intubation.

Secondary Outcome Measures

Name	Time	Method
-To compare scores of modified nasointubation difficulty scale (MNIDS)	-Hemodynamic responses (MAP and HR)

Trial Locations

Locations (1)

HSK Hospital; 🇮🇳 Bagalkot, KARNATAKA, India

HSK Hospital

🇮🇳Bagalkot, KARNATAKA, India

Dr Chetan R Patil

Principal investigator

8050352467

cpchetanpatil700@gmail.com