CompletedNot Applicable

US-guided Airway Nerve Block vs. Topical Lidocaine in Video Laryngoscopy for Difficult Bariatric Intubation.

Egypt80 participantsStarted 2025-02-20

Plain-language summary

The investigators will test the effects of ultrasound guided airway nerve block vs lidocaine topical anesthesia and it's direct effect in decreasing incidence of gag and cough reflex in suspected difficult intubation patients using video assisted laryngoscopey for those Undergoing bariatric surgery

Who can participate

Age range21 Years – 65 Years

SexALL

See this in plain English?

AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.

Inclusion criteria

✓. Age: 21-65 years old
✓. Obese patients (BMI\>35 kg/m2) undergoing bariatric surgery
✓. Suspected difficult intubation: e.g:(Mallampati score ≥3 , Thyromental distance \<6 cm, Limited neck mobility, History of difficult intubation)
✓. ASA I-II

Exclusion criteria

✕. Patients at increased risk for aspiration (e.g., full stomach or gastro-esophageal reflux disease) and pregnancy
✕. Patients with expected difficult ventilation
✕. Patients who have upper airway pathology or surgery
✕. Patients with a mouth opening \< 2 cm
✕. ASA III-IV
✕. Emergency surgery
✕. Allergy to local anesthetics
✕. Contraindication to nerve blocks e.g.:(Coagulopathy, Infection at site of injection)

What they're measuring

Incidence of Gag reflex and cough reflex

Timeframe: After applying local anesthesia by at least 3 minutes

Trial details

NCT IDNCT07069686

SponsorAin Shams University

Sponsor typeOTHER

Study typeINTERVENTIONAL

Primary completion2025-05-28

View on ClinicalTrials.gov More Gag Reflex trials