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A Comparison Of Nebulisation With Dexmedetomidine And Nebulisation With 4% Lignocaine Plus Dexmedetomidine For Awake Fibreoptic Intubation

Phase 2/3
Not yet recruiting
Conditions
Medical and Surgical,
Registration Number
CTRI/2021/10/037256
Lead Sponsor
Indira Gandhi institute of medical sciences
Brief Summary

A COMPARATIVE EVALUATION OF EFFICACY OF NEBULIZATION WITH DEXMEDETOMIDINE AND NEBULIZATION WITH 4% LIGNOCAINE PLUS DEXMEDETOMIDINE FOR AWAKE FIBEROPTIC INTUBATION IN DIFFICULT AIRWAY SCENARIO

Different topical and regional techniques have been developed to subdue reflexes and facilitate awake fiberoptic intubation .It is essential to sufficiently anesthetize the upper airway and suppress the gag, swallow ,and cough reflexes prior to awake fiberoptic intubation and thus ensure patient comfort

PRIMARY OBJECTIVES:

A comparative double blinded randomised study will be performed-

1) To evaluate the effect of preoperative nebulisation with dexmedetomidine and preoperative nebulisation with dexmedetomidine plus lignocaine for awake fiberoptic intubation on-

a) sedation/alertness

b) vocal cord /limb movement

c) coughing

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
80
Inclusion Criteria

patient consent, ASA grade 1 and 2, patient with anticipated difficult intubation(LEMON >2), BMI >30 kg/m2.

Exclusion Criteria

patient refusal, airway hypersensitivity, allergy to drugs used (lignocaine/dexmedetomidine),epileptic patients,patients with poor cardiopulmonary reserve, bleeding tendency, obesity, other co-morbid conditions.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1.sedation/alertness(OAA SCORE)0 to 5 min
2.vocal cord movement(%)0 to 5 min
3.limb movement0 to 5 min
4.fibreoptic intubation score0 to 5 min
5.coughing0 to 5 min
Secondary Outcome Measures
NameTimeMethod
1) To compare the hemodynamic changes of two groups2) Dose sparing effect of propofol

Trial Locations

Locations (1)

INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES,PATNA

🇮🇳

Patna, BIHAR, India

INDIRA GANDHI INSTITUTE OF MEDICAL SCIENCES,PATNA
🇮🇳Patna, BIHAR, India
Dr Arvind Kumar
Principal investigator
8789655581
arvind007kumar@yahoo.com

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