Assessment of the Use of Laryngeal Mask Airway as Abridge for Intubation of Morbidly Obese Patients Undergoing Sleeve Gastrectomy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 1
- 主要终点
- Time to intubation TTI
研究概览
简要总结
Ventilation, as well as intubation of a morbidly obese patient, is challenging and require special preparations and skilful hands, in this study laryngeal mask airway insertion is used as a bridge for intubation to facilitate ventilation as give enough time to anaesthetics and muscle relaxants to work on.
详细描述
The ordinary pathway of intubating a morbidly obese patient for sleeve gastrectomy is bordered by the risk of difficult ventilation and intubation with the subsequent events of hypoxia and hypoventilation. When the patient is easy ventilated, it gives some sort of confidence and pleasure for the anaesthetist that the way of intubation will not be so hard.
One problem here is the difficulty of ventilating a morbidly obese patient, in this study the investigators used laryngeal mask airway as a bridge before inserting the endotracheal tube
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Morbid obese patient BMI>40
- •ASA I, II, III
- •Elective sleeve gastrectomy
排除标准
- •Oral cavity infection or pathological abnormalities
- •Suspected or known abnormalities in supraglottic anatomy
- •Patients planned for awake fiberoptic intubation
研究组 & 干预措施
Face mask ventilation
Use of face mask ventilation technique after induction of anaesthesia and administration pf muscle relaxant till the insertion of the endotracheal tube in a morbidly obese patient undergoing sleeve gastrectomy
干预措施: face mask (Device)
Laryngeal mask ventilation
Use of laryngeal mask airway LMA for ventilation after induction of anaesthesia and administration pf muscle relaxant till the insertion of the endotracheal tube in a morbidly obese patient undergoing sleeve gastrectomy
干预措施: Laryngeal mask airway (Device)
结局指标
主要结局
Time to intubation TTI
时间窗: During the action of intubation after induction of anaesthesia
The time starts with insertion of glidescop and ends at its withdrawal
次要结局
- View of the glottis(During the action of intubation after induction of anaesthesia)
- Anaesthetist's satisfaction score(During the action of intubation after induction of anaesthesia)
- Need for external pressure during intubation(During the action of intubation after induction of anaesthesia)
- Number of attempts required for intubation,(During the action of intubation after induction of anaesthesia)
- Intubation difficulty score (IDS)(During the action of intubation after induction of anaesthesia)
研究者
Abdelrhman Alshawadfy
Lecturer of anesthesia and intensive care
Suez Canal University