Comparison of Laryngeal Mask and Tracheal Intubation With and Without Topical Lidocaine Application

N/AActive Not RecruitingNCT07548866

St. Petersburg State Pavlov Medical University150 enrolled

Overview

The study aims to identify the advantages and disadvantages of each of the three methods of airway management during FESS.

Study Type

OBSERVATIONAL

Enrollment

150

Conditions

Comparison of Airway Management Techniques in Functional Endoscopic Sinus Surgery Rhinosinusitis With Polyps Deviated Nasal Septum Osteoma of the Paranasal Sinuses

Interventions

anesthesia of the respiratory tract with lidocaineDRUG

administration of 4% lidocaine during tracheal intubation

tracheal intubationDEVICE

intraoperative tracheal intubation

laryngeal mask placementDEVICE

intraoperative placement of a laryngeal mask

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * general anesthesia during fess Exclusion Criteria: * history of mental and neurological diseases

Locations (1)

Pavlov First Saint Petersburg State Medical University

Saint Petersburg, Russia

Outcomes

Primary Outcomes

cough severity and frequencies

Coughing was scored as mild (single cough), moderate (\>1 episode of un- sustained coughing lasting 5 seconds), or severe (sustained, \>5 seconds, bouts of coughing). Target values - mild cough.

Time frame: 15 minutes after waking up

Secondary Outcomes

Richmond agitation-sedation scale (RASS)

A 10-level scale ranges from +4 (extreme aggression) to -5 (no arousal at all). The target level for most patients is 0 (quiet alertness) or mild sedation (-1/-2).

Time frame: 15 minutes after waking up

The Ramsay scale

The Ramsay scale consists of 6 levels. Level 1: the patient is agitated and restless. Level 6: the patient is asleep and unresponsive. Target values for the study are levels 2-3.

Time frame: 15 minutes after waking up

Data from ClinicalTrials.gov

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