Awake intubation is a recommended safety procedure in specific cases where the intubation or ventilation before general anesthesia is at risk. Numerous techniques to allow awake intubation have been described, such as pure awake technique, local anesthetics or intravenous sedation for example. Hypnosis is used for various operating room techniques and surgeries. The investigators aim to analyze the feasibility of awake laryngoscopy and intubations on patients placed under hypnosis alone.
Awake intubation is a recommended safety procedure in specific cases where the intubation or ventilation before general anesthesia is at risk. Numerous techniques to allow awake intubation have been described, such as pure awake technique, local anesthetics or intravenous sedation for example. Hypnosis is used for various operating room techniques and surgeries. The investigators aim to analyze the feasibility of awake laryngoscopy and intubations on patients placed under hypnosis alone. Once patient will consent to be enrolled in the study, the same physician, trained in hypnosis, will accompany the patient in the operating room and place him into a hypnotic state. Once this hypnotic state is achieved, an oro-tracheal laryngoscopy will be performed with an Airtraq videolaryngoscope by an experienced anesthetist, specialised in the management of the difficult airway. If conditions allow it, the laryngoscopy will be followed by an oro-tracheal intubation. A questionnaire assessing objective and subjective criteria from the patient and from the airway specialist will be collected.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
30
patient will be put in an hypnotic state before performing a laryngoscopy followed by oro-tracheal intubation
Dpt of Anesthesiology, University of Lausanne CHUV
Lausanne, Canton of Vaud, Switzerland
Number of participants in which laryngoscopy is possible under hypnosis
laryngoscopy is feasible under hypnosis alone
Time frame: 60 minutes
Number of participants in which intubation is possible under hypnosis
intubation is feasible under hypnosis alone
Time frame: 60 minutes
comfort assessed by patient
assessment of comfort on scale 1-5
Time frame: 60 minutes
comfort assessed by doctor
assessment of comfort on scale 1-5
Time frame: 60 minutes
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