This study compares the ascope with standard fiberscope using the nasal route of intubation in patient having sever difficult airway (having posterior one third cancer tongue with fixed mobility)
patient will be allocated into two group according to the type of endoscope used group (F) fibro scope group and group (A) the ambu ascope group The timer will be started (T0), when touching the fiberscope or a scope. The standard fiberscope or a scope2 will be introduced through the nostril and advanced through the vocal cords, once carina identified the time will be recorded ( T1) When correct positioning of the trachea confirmed by detection of the end-tidal co2 curve on capnography (T2).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
100
nasal route intubation by the device in fixed cancer tongue patients
nasal route intubation by the device in fixed cancer tongue patients
Kasr Alini Univeristy Hospital
Cairo, Giza Governorate, Egypt
time of successful intubation
measuring time in seconds for reaching carina and time for successful intubation .
Time frame: 5 minutes
quality of vision
subjective assessment by operator
Time frame: 5 minutes
incidence of complications
accounting number of desaturation , bleeding , hypoxia .
Time frame: 15 minutes
easiness of intubation
subjective assessment
Time frame: 5 minutes
number of intubation trials
counting number of intubation in each group
Time frame: 30 minutes
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