Nasal Septum Deviation Clinical Trial
Official title:
A Comparison of the Face Mask and Oral Mask Ventilation After Nasal Surgery.
Verified date | May 2013 |
Source | Diskapi Teaching and Research Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | Turkey: Ministry of Health |
Study type | Interventional |
Difficult mask ventilation is usually studied in relation to airway management and difficult
intubation and mostly during the induction period of anesthesia.
According to the closed claim reports tracheal extubation and recovery of anesthesia is
associated with brain damage or death.
Difficult mask ventilation can also be a problem during the emergence phase of anesthesia
after extubation. Especially after nasal surgery the use of nasal tampon and casts can
resemble upper airway obstruction and facial deformity and cause difficult mask ventilation.
The effectiveness of ventilation is affected by the design of the mask. Leaks may develop
due to the inability to obtain a tight seal.
The use of an oral mask for ventilation in patients with nasal tumors and after rhinoplasty
for patients with a nasal cast has been reported. This suggests that oral mask ventilation,
rather than face mask ventilation, should be considered after nasal surgery.
The aim of this prospective randomized study is to compare the face mask and oral mask
ventilation after nasal surgery in terms of the mask ventilation classification, airway
pressure, minute ventilation and tidal volume.
Our hypothesis is that ventilation with oral mask would provide better airway pressures,
superior mask-ventilation classification and higher tidal volumes compared to face mask
ventilation in patients with obstructed nasal pasage (nasal packing and/or cast) after nasal
surgery'.
Status | Completed |
Enrollment | 24 |
Est. completion date | December 2013 |
Est. primary completion date | December 2013 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 19 Years to 45 Years |
Eligibility |
Inclusion Criteria: - American Society of Anesthesiologists (ASA) physical class I or II - adult patients - ageing 19-45 yr - scheduled for nasal surgery Exclusion Criteria: - Respiratory diseases - snoring - smoking - obstructive sleep apnea - obesity (body mass index >30 kg m2) - difficult intubation-ventilation-airway - emergency cases |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Turkey | Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital | Ankara | |
Turkey | Diskapi Yildirim Beyazit Training and Research Hospital | Ankara |
Lead Sponsor | Collaborator |
---|---|
Diskapi Teaching and Research Hospital |
Turkey,
Joffe AM, Hetzel S, Liew EC. A two-handed jaw-thrust technique is superior to the one-handed "EC-clamp" technique for mask ventilation in the apneic unconscious person. Anesthesiology. 2010 Oct;113(4):873-9. doi: 10.1097/ALN.0b013e3181ec6414. — View Citation
Salem MR, Ovassapian A. Difficult mask ventilation: what needs improvement? Anesth Analg. 2009 Dec;109(6):1720-2. doi: 10.1213/ANE.0b013e3181be0541. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Ppeak | assessment will be done after extubation, when the spontaneous respiratory rate is 10 breaths/min. | 5 m extubationin after | No |
Other | Pmean | assessment will be done after extubation, when the spontaneous respiratory rate is 10 breaths/min. | 5 min after extubation | No |
Primary | Tidal volume | assessment will be done after extubation, when the spontaneous respiratory rate is 10 breaths/min. | 5 min after extubation | No |
Secondary | Mask ventilation grade of the patients as Grade0, grade 1, Grade 2, grade 3, grade 4 | Assessment will be done after extubation | 5 min after extubation | No |
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