comparison of two intubation techniques in patients with cervical collar

Completed

Conditions: Medical and Surgical,
120 ASA physical status I/II patients (18-60 years) scheduled to undergo elective surgical procedures requiring general anesthesia

Registration Number: CTRI/2014/01/004275

Lead Sponsor: ESI Hospital

Brief Summary: conventional intubation techniques require movement of cervical spine to align the three axis to allow direct vision of the vocal cords. cervical collar may reduce the neck movements and mouth opening and makes larynx more anterior, thus making intubating conditions extremly challenging. Bonfils intubation fiberscope is being increasingly used to facilitate intubation in anticipated and unanticipated difficult airways with good success rates. it has also been shown to markedly improve the intubation success in patients with cervical collar. but this device is expensive , may not be available and has a steep learning curve.

In modern era of technology direct laryngoscopy remains most readily available and fastest means of securing the airway in patients .Left molar approach to direct laryngoscopy improves the glottic view in simulated DA and may help negate the advantage of bonfils intubation fibersope. So ,we hypothetised that bougie assisted left molar approach to laryngoscopy may be a good alternative to Bonfils for intubation in patients with rigid cervical colalr for intubation.

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 48

Inclusion Criteria

After ethics committee approval and written informed consent, 120 ASA physical status I/II patients (18-60 years) scheduled to undergo elective surgical procedures requiring general anesthesia were prospectively included in the study.

Exclusion Criteria

anticipated difficult ventilation or intubation (Mallampatti class 3/4, Mouth opening (MO)< 3cm, thyromental distance < 6.5 cm and sterno mental distance < 12.5 cm), patients with loose molar teeth or increased risk of aspiration, pregnant patients, obese patients (BMI >35) and those with history of difficult intubation were excluded.

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Time to intubation	from beginning of insertion of the device ( bonfils/ laryngoscope) till the End tidal capnograph tracing on the monitor

Secondary Outcome Measures

Name	Time	Method
post operative complications:x.Postoperative sore throat (mild, moderate and severe)15, dysphagia or any other respiratory morbidity	1, 6 and 24 hours.

Trial Locations

Locations (1): Department of Anesthesiology , ESI Hospital
🇮🇳
West, DELHI, India
Department of Anesthesiology , ESI Hospital
🇮🇳West, DELHI, India
Dr Anju Gupta
Principal investigator
9911573371
dranjugupta2009@rediffmail.com