Preoperative evaluation of nasal cavity using computed tomography to reduce complications during nasotracheal intubation in midface trauma patients: a clinical trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 25
- 试验地点
- 1
- 主要终点
- Assessment of post operative complications ie incidence of bleeding
研究概览
简要总结
Summary:
Need for the study
**1. Maxillofacial trauma often complicates airway management due to preexisting and post trauma anatomical distortions, making conventional intubation methods difficult and increasing the risk of complications.
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Nasal intubation is preferred in maxillofacial surgeries as it allows better access to the surgical field. Careful assessment and preparation of the patient before the procedure are important. There is inability to pass ET tube Nasally. Various complications are nasal bleeding, avulsion of nasal polyps, fracture of the turbinate and risk of sinusitis.
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Utilizing computed tomography (CT) imaging can provide detailed anatomical information for safe intubation.**
Objectives
1. To Measure the incidence of complication i.e. Bleeding during intubation and the number of attempts and time required to successfully perform nasal intubation.
2.To assess the intubation difficulty from the Preoperative evaluation of Nasal anatomy using CT scans.
**Intervention to be conducted on patients-**Preoperative CT scan (Which is done previously for assessment of diagnosis for maxillofacial midface trauma patients).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Diagnosis: Patients presenting with maxillofacial midface trauma requiring surgical intervention.
- •2.Intubation requirement: Patients who require nasotracheal intubation for surgical management.
- •3.CT imaging availability: Patients for whom preoperative computed tomography imaging has been done.
- •4.Consent: Patients who provide informed consent to participate in the study.
排除标准
- •1.Patients who are not willing to participate in the study.
- •2.The lack of preoperative CT scans.
- •3.When other forms of the intubation may be required as judge by the anaesthesiologist.
结局指标
主要结局
Assessment of post operative complications ie incidence of bleeding
时间窗: Baseline
次要结局
- Number of attempts for Intubation(Baseline)
- Assessment of intubation difficulty & time taken for the procedure(Baseline)
- Incidence of any other complications(Baseline)
研究者
Dr Kairav A Vadher
KAHERs KLE VK Institute of Dental science