Awake Nasal Intubation in Laryngopharyngeal Tumors

Status Completed

Clinical Trial Summary

This study evaluates the efficiency of awake naso-tracheal intubation and patient satisfaction when using a small diameter flexible nasolaryngoscope together with topical anaesthesia and light sedation with a combination of benzodiazepine and fentanyl. The selected patients will have difficult airway access because of obstructing oro- and hypo-pharynx tumours.

Clinical Trial Description

Awake naso-tracheal fiberoptic intubation is an established method of securing a difficult airway. The patient's comfort and optimum intubation conditions are paramount for success. The study proposes to analyse a series of patients with obstructive pharyngo-laryngeal pathology, following the degree of satisfaction, reliability of the procedure and any incidents or complications.

Awake intubation could be the safest way to control difficult airway as the patient maintains spontaneous respiration and intact reflexes. Main concerns for the success of this procedure should be a good technique, a calm and cooperative patient and good preparation with careful topical anaesthesia and appropriate sedation. The tool used in this study will be a flexible nasolaryngoscope of 2.9 mm diameter and 300 mm working length which might offer an advantage over lengthier fiberscopes in matter of manoeuvrability and patient comfort. Prior intubation the patients will have an upper airway fiberscopic exam from nostrils to tracheae with the same tool. ;

Study Design

Related Conditions & MeSH terms

Airway Management

Clinical Trial Details

NCT number	NCT03546088
Study type	Interventional
Source	Iuliu Hatieganu University of Medicine and Pharmacy
Contact
Status	Completed
Phase	N/A
Start date	February 20, 2018
Completion date	December 25, 2018

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03908411` - The Effect of Paratracheal Pressure on the Glottic View	N/A
Completed	`NCT04564105` - Simulation Training and Teamwork Concerning Intubation on the Icu	N/A
Completed	`NCT02988336` - TMHT - New Method of Difficult Intubation Prediction	N/A
Completed	`NCT03002857` - Comparison of I-gel LMA, Classical LMA With a New Supraglottic Airway the Baska Mask® in Urological Surgery	N/A
Recruiting	`NCT06337006` - Laryngeal Mask Airway Failure in Pediatric Patients
Completed	`NCT03443219` - RCT- LMA Supreme™ Versus the Spritztube® Tracheal Cannula in Anesthetized Adult Patients	N/A
Completed	`NCT05044416` - VieScope in Patients With an Expected Difficult Airway	N/A
Not yet recruiting	`NCT05534451` - Comparison Among Three Different Video Scope Guided Nasotracheal Intubation.	N/A
Recruiting	`NCT06073977` - Risk Factors for Pediatric Difficult Supraglottic Airway Placement and Ventilation
Not yet recruiting	`NCT03687424` - Can High-flow Nasal Oxygenation Improve Oxygen Saturation During Analgo-sedation in Obese Adults?	N/A
Not yet recruiting	`NCT03687385` - The Effect of High-flow Nasal Oxygenation to the Saturation During Analgo-sedation in Different ASA Risk Class Patients	N/A
Enrolling by invitation	`NCT05055401` - Airway Management Skills Amongst Anesthesia Providers
Not yet recruiting	`NCT02920879` - Airway Effects of PEEP During Anesthesia Induction.	N/A
Terminated	`NCT02644837` - AuraGain and iGel Crossover Comparison	N/A
Completed	`NCT02263300` - Spatial Orientation and Fiberoptic Intubation Skills in the Novice: A Randomized Controlled Trial
Completed	`NCT01718561` - The Difficult Airway Management Trial: "The DIFFICAIR-Trial"	N/A
Completed	`NCT01635660` - Out-of-Hospital Randomized Comparison of Video-assisted Endotracheal Intubation	N/A
Completed	`NCT00956592` - Clinical Evaluation of the Storz CMAC Laryngoscope	N/A
Completed	`NCT00892671` - Airway Management and Vascular Access Simulation	N/A
Completed	`NCT03848559` - Airway Management With Simulated Microgravity Using a Submerged Model	N/A