Comparison of head positions (Sniffing vs Extension) for awake flexible bronchoscope guided nasotracheal intubation in patients with difficult airway: a Randomized controlled trial
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- JIPMER
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Time to view the vocal cords
Overview
Brief Summary
Awake fiberoptic bronchoscope oral intubation (AFOI) is widely regarded as the gold standard for airway management in patients with difficult airways. Various factors influence the success of this technique, including sedation methods, airway anatomy, and head positioning
Management of the difficult airway has been a critical topic in anesthesiology for decades. Difficult airway incidences range from 0.3% to 13%, and nearly 30% of anesthesia-related mortalities are directly linked to airway complications. (2) Thus, awake fiberoptic bronchoscope (FOB) intubation has emerged as the gold standard for securing airways in patients with anticipated difficulties.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- None
Eligibility Criteria
- Ages
- 18.00 Year(s) to 65.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •1.Adult patients aged 18-65 years uundergoing elective surgeries.
- •2.American Society of Anesthesiologists (ASA) status 1, 2 and 3 requiring awake Flexible bronchoscope guided nasotracheal intubation for airway management during anesthesia administration.
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Time to view the vocal cords
Time Frame: Time to view the vocal cords
Secondary Outcomes
- 1. To evaluate and compare Time taken for viewing the tracheal rings (TVTR) between ‘Group SP’ and ‘Group EP’
- To evaluate and compare Time taken for successful endotracheal tube placement (TETP) between ‘Group SP’ and ‘Group EP’
- To compare Number of Attempts between ‘Group SP’ and ‘Group EP’
- To compare Ease of intubation between ‘Group SP’ and ‘Group EP’
- To evaluate and compare Hemodynamic alterations of the patients during intubation between ‘Group SP’ and ‘Group EP’
Investigators
Dr Rohithkrishna B
Jawaharlal Institute of Postgraduate Medical Education and Research