Anesthesia for Awake Fiberoptic Intubation in Patients With Cervical Instability - Comparison of Translaryngeal Injection and "Spray as You go"-Technique
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 2
- 主要终点
- patients satisfaction with anesthesia
研究概览
简要总结
This is a prospective, comparative, randomized, monocentric, clinical open study, to compare two anesthesia techniques (translaryngeal injection vs. spray as you go) in patients with cervical instability with regard to technical modalities and quality of fiberoptic awake intubation.
详细描述
In patients with cervical instability anesthesia induction and conventional intubation are associated with the risk of neurological harm. Therefore the method of choice for anesthesia induction is the fiberoptic awake intubation. This method allows to place the ventilation tube without movement of the cervical spinal cord. This procedure is very uncomfortable for the patient and needs the application of topic and/or systemic anesthetics.
With this clinical study we will compare two established techniques for local laryngeal anesthesia with regard to the quality of technical modalities and postoperative outcome.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients with cervical instability undergoing elective decompression of cervical spine
排除标准
- •patient refused participation
- •contraindications for awake intubation techniques (e.g. nasal bleeding, anatomical disorders)
- •patient under alcohol or drugs
- •emergency surgery
结局指标
主要结局
patients satisfaction with anesthesia
时间窗: up to two weeks after hospital admission
participants will be followed for the duration of hospital stay, an expected average of 2 weeks
次要结局
- pain after anesthesia(Change from Baseline in pain after anesthesia at end of hospital stay)
研究者
Armin Sablotzki, MD
Prof. Dr. med.
Klinikum St. Georg gGmbH