Atomization Vs. Nebulization for Airway Topicalization During Awake Nasotracheal Fiberoptic Intub… (NCT05320731) | Clinical Trial Compass
CompletedNot Applicable
Atomization Vs. Nebulization for Airway Topicalization During Awake Nasotracheal Fiberoptic Intubation
Egypt150 participantsStarted 2022-02-20
Plain-language summary
Intubation of difficult airway is a challenge for anesthetist. There many causes of difficult airway, and previous studies concluded that awake fiber-optic intubation (AFOI) is the gold standard for the management of these patients. Several studies showed that airway nerve blocks provide rapid and deep airway anesthesia, however, due to their several disadvantages, topicalization of the airway represents a promising alternative to them. Some studies revealed that nebulization and atomization of the airway provide adequate anesthesia for AFOI. In the present study, we try to find out which is more effective for topicalization of the airway during nasotracheal AFOI; nebulization or atomization. We used a simple atomization device as a modification of the McKenzie technique.
Who can participate
Age range18 Years – 60 Years
SexALL
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Inclusion criteria
✓. Consent obtained from all patients included in this study.
✓. Age 18 - 60 years, of both sexes.
✓. ASA class I, II and III.
✓. Anticipated difficult airway; SARI score ≥ 4, airway pathology, craniofacial abnormalities, or cervical spine instability.
✓. Scheduled for elective non-cardiac surgery requiring general anesthesia and endotracheal intubation.
Exclusion criteria
✕. Patient refusal, uncooperative and mentally retarded patients.
✕. Full stomach patients.
✕. Patients with nasal fractures or trauma, fracture base of the skull, bleeding disorder, epistaxis or active oral bleeding.
✕. Active cough or respiratory tract infection and bronchial asthma.