Few studies have compared different methods for optimalizing intubation conditions in general anesthesia. This randomized controlled trial will compare two different methods for intubation in general anesthesia in gastro- or gynecological procedures.
In general anesthesia, it is neccessary to secure the airways with an endotracheal tube. There is no international consensus on how intubation is most efficiently conducted. A cochrane review compared using muscular relaxing medication versus not using blocks for intubation. Primary outcomes were intubation conditions and discomfort in upper airways. The authors concluded that research is limited, and that further research is needed. No studies have compared local anesthetic spray on the glottis and muscular relaxing medication in intubation, focusing on discomfort in upper airways. The null-hypothesis of this study is that there is no difference in upper airway discomfort when using local anesthetic spray or muscular relaxing medication. The study will have a randomized controlled design, randomizing patients undergoing gastro- or gynecological procedures in general anesthesia to receiving either rocuronium (muscle relaxing medication) intravenous, or lidocain spray on the glottis before intubation. The primary outcome is postoperativ hoarseness one hour after intubation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Enrollment
120
Comparing lidocaine spray and muscle relaxing medication
Ann-Chatrin Linqvist Leonardsen
Kråkerøy, Østfold fylke, Norway
Degree of hoarseness 1 hour after extubation
Scored on a scale : 0=no, 1= self reported hoarseness, 2=observed hoarsness by care personnel, 3=aphonia
Time frame: 1 hours
Intubation conditions
Cormack \& Lehane four degrees
Time frame: Before intubation
Number of intubation attempts
Number
Time frame: At intubation
Number of patients needing extra equipment for intubating
bourgie, c-mac, other
Time frame: At intubation
Proportion of patients who cough when spraying
yes/no
Time frame: At intubation
Proportion of patients with normal anatomy in upper airways
yes/no
Time frame: At intubation
Blood pressure changes during intubation
Blood pressure before and 2 minutes after intubation
Time frame: at intubation
Heart rate changes during intubation
Heart rate before and 2 minutes after intubation
Time frame: at intubation
Proportion of patients who cough on tube at extubation
yes/no
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Time frame: At extubation
Proportion of patients with blood on tube after extubation
yes/no
Time frame: At extubation
Degree of hoarsness 24 and 48 hours after extubation
Scored on a scale : 0=no, 1= self reported hoarseness, 2=observed hoarsness by care personnel, 3=aphonia
Time frame: 2-48 hours
Proportion of patients reporting different degrees of sore throat at 2, 24 and 48 hours after extubation
0=no, 1=mild, 2=moderate, constant pain when swallowing, 3=severe pain needing analgesia
Time frame: 2-48 hours