Effect of left head rotation on glottic view as assessed with POGO score while using C MAC video laryngoscope D blade
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 35
- Locations
- 1
- Primary Endpoint
- To assess whether rotating head to the left side to 45 degrees in supine position improves glottic view as assessed with POGO score during indirect laryngoscopy using C MAC video laryngoscope D blade under general anaesthesia as compared with the classic sniffing position.
Study Overview
Brief Summary
The primary objective of the study is to see whether rotating head to 45degree left will improve the glottic view as assessed with POGO score while using C mac Blade D video laryngoscope.
The secondary objectives of the study include mutiple objectives like ease of nasal intubation in left lateral position ,number of attempts,duration of laryngoscopy, use of external neck manipulation /Magills forceps/ cuff inflation incidence of trauma while intubation , haemodynamic changes during intubation will also be assessed.The patients included in the study are patients needing nasal intubation during the surgery.
exclusuion criteria includes patients who received post radiotherapy, nasal/oral or oropharyngeal cancers, carcinoma larynx.
Study Design
- Study Type
- Observational
Eligibility Criteria
- Ages
- 18.00 Year(s) to 70.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •Patients requiring general anesthesia with nasal intubation a.Patients aged 18-70 years, b.American Society of Anesthesiologists physical status (ASA PS) 1 to 3, c.Patients with Mallapati score of 3 and 4 d.Restricted tongue protrusion or neck extension.
Exclusion Criteria
- •i.Patients with POGO sore of 100% ii.Nasal, oral or oropharyngeal tumours iii.Carcinoma larynx iv.Postoperative cases with soft tissue flaps in tongue v.
- •post radiotherapy patients with neck rigidity.
Outcomes
Primary Outcomes
To assess whether rotating head to the left side to 45 degrees in supine position improves glottic view as assessed with POGO score during indirect laryngoscopy using C MAC video laryngoscope D blade under general anaesthesia as compared with the classic sniffing position.
Time Frame: after induction
Secondary Outcomes
- The ease of nasal intubation in left head rotation position(2) number of attempts and the time taken for intubation)
Investigators
Dr Gayathri sreekumar
Amrita Institute of medical sciences
