Stridor Clinical Trial
— airwayOfficial title:
Predicting Post Extubation Stridor in Patients With Intermaxillary Fixation
Endotracheal intubation can induce laryngotracheal injury which results in narrowing of the airway due to edema of the glottis. This can increase the risk of development of post-extubation stridor (PES)
Status | Recruiting |
Enrollment | 62 |
Est. completion date | June 30, 2025 |
Est. primary completion date | February 25, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Adult patients (>18 years) - American Society of Anesthesiologists status I and II - undergoing elective maxillomandibular fixation surgeries under general anesthesia with nasal endotracheal intubation Exclusion Criteria: - patients' refusal - pregnant females - patients with body mass index <18.5 or = 35 kg/m2 - risk of aspiration - cardiorespiratory disorder - neuromuscular disease - uncontrolled diabetes mellitus - gastrointestinal bleeding - on chronic steroid therapy - intubated patients or were intubated or had upper airway infection within 1 week prior to surgery - history of any pathology, radiotherapy or surgery in the neck - had difficult laryngeal US plane (as neck wound) |
Country | Name | City | State |
---|---|---|---|
Egypt | Maha Ahmed AboZeid | Mansoura |
Lead Sponsor | Collaborator |
---|---|
Mansoura University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Expiratory tidal volume immediate after intubation with the cuff deflated | ml | immediately after intubation | |
Other | Expiratory tidal volume immediate before extubation with the cuff inflated | ml | immediately before extubation | |
Other | Expiratory tidal volume immediate before extubation with the cuff deflated | ml | immediately before extubation | |
Other | cuff leak volume | ml | immediate after intubation and immediate before extubation | |
Other | Laryngeal air column width | mm | before intubation | |
Other | Laryngeal air column width | mm | immediate after intubation during the balloon-cuff inflation and during balloon-cuff deflation | |
Other | Laryngeal air column width | mm | immediate before extubation during the balloon-cuff inflation and during balloon-cuff deflation | |
Other | Laryngeal air column width difference | mm | immediate after intubation and immediate before extubation | |
Other | incidence of postoperative sore throat, dysphonia, swallowing disorders or PES. | 4-point verbal descriptor scale (0=no symptoms, 1=mild, 2=moderate, 3=severe) | First postoperative day | |
Primary | Laryngeal air column width ratio | immediately before extubation | ||
Secondary | The duration of nasal endotracheal intubation | min | Procedure (from nasal endotracheal intubation till extubation) | |
Secondary | endotracheal tube insertion depth | cm | immediately after intubation | |
Secondary | The incidence of epistasis occurrence during nasotracheal intubation | 4-point verbal descriptor scale (0=no symptoms, 1=mild, 2=moderate, 3=severe) | immediately after intubation | |
Secondary | Expiratory tidal volume immediate after intubation with the cuff inflated | ml | immediately after intubation |
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