Awake Nasal Intubation in Laryngopharyngeal Tumors
NCT03546088 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2020-07-14
Summary
This study evaluates the efficiency of awake naso-tracheal intubation and patient satisfaction when using a small diameter flexible nasolaryngoscope together with topical anaesthesia and light sedation with a combination of benzodiazepine and fentanyl. The selected patients will have difficult airway access because of obstructing oro- and hypo-pharynx tumours.
Conditions
- Airway Management
Interventions
- DEVICE
-
fiberoptic naso-tracheal intubation
The trachea will be intubated under direct fiberoptic view after a fiberoptic upper airway examination. The flexible nasolaryngoscope will be armed with an intubating tube and passed inside tracheal lumen trough one of the nostrils.
- DRUG
-
Topical anaesthesia
Topical anaesthesia with lidocaine will be provided through nebulisation and instillation. The intubating tube will be lubricated with a gel containing lidocaine.
- DRUG
-
Light sedation
The patient will be sedated with a combination of midazolam, fentanyl administered intravenously in small boluses until the desired level of sedation is achieved as expressed of The Observer's Assessment of Alertness/Sedation Scale (OAA/S) of 4 or 5.
Sponsors & Collaborators
-
Iuliu Hatieganu University of Medicine and Pharmacy
lead OTHER
Principal Investigators
-
Ioan Florin Marchis, Md · Iuliu Hatieganu University of Medicine and Pharmacy
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 85 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2018-02-20
- Primary Completion
- 2018-11-20
- Completion
- 2018-12-25
Countries
- Romania
Study Locations
More Related Trials
-
Effects of Propofol-dexmedetomidine on Immune Function in Patients With Cancer Larynx
NCT02739958 ·Status: COMPLETED ·Phase: NA
-
Robotic-assisted Bronchoscopy Under Moderate Sedation With Propofol
NCT07006311 ·Status: RECRUITING ·Phase: NA
-
Efficacy of I/v Nalbuphine v/s Iv Lignocain in Attanuation of Pressor Responseduring Laryngeoscopy and Intubation in Middle Age Patient Planned for Thyroid Surgery
NCT05298761 ·Status: NOT_YET_RECRUITING ·Phase: EARLY_PHASE1
-
Non-anesthesiologist-administered Propofol During the Flexible Bronchoscopy
NCT02820051 ·Status: COMPLETED ·Phase: NA
-
Regional Block of the Nose for Hypotensive Anaesthesia in Septo-rhinoplasty
NCT03774693 ·Status: UNKNOWN ·Phase: NA
-
Nurse Administered Propofol Sedation vs. Midazolam With Fentanyl-sedation for Flexible Bronchoscopy: A Randomized, Single Blind, Controlled Study of Satisfaction and Safety.
NCT02226328 ·Status: UNKNOWN ·Phase: PHASE4
-
Fospropofol for Sedation During Elective Awake Intubation
NCT01289483 ·Status: WITHDRAWN ·Phase: NA
-
Pharmacokinetics and Pharmacodynamics of Rocuronium in Closed-Loop Infusion System
NCT02364934 ·Status: UNKNOWN
-
Evaluation of the Effectiveness of Two Methods of Regional Anesthesia During S-ICD Implantation Procedure.
NCT06520150 ·Status: RECRUITING ·Phase: NA
-
Simultaneous Injection of Propofol and Rocuronium in Inducing General Anesthesia
NCT03270696 ·Status: COMPLETED ·Phase: NA
-
A Study Evaluating the Safety and Pharmacokinetics/Pharmacodynamics of HSK3486
NCT03745625 ·Status: COMPLETED ·Phase: PHASE1
-
Quality Assessment of Orotracheal Intubation Without Neuromuscular Blocking Agents in Obese Patients
NCT05026125 ·Status: COMPLETED ·Phase: PHASE4
-
Anesthesia in Flexible Bronchoscopy for Lung Cancer Diagnostic
NCT00440960 ·Status: COMPLETED ·Phase: PHASE4
-
Effect of Additive Lorazepam on Patient Satisfaction as a Premedication in Diagnostic Flexible Bronchoscopy
NCT01121055 ·Status: UNKNOWN ·Phase: PHASE4
-
Elucidation of the Mechanisms and Effects of Certain Anesthetic Interventions on Digestive Cancer Patients Subjected to Surgery
NCT04162535 ·Status: UNKNOWN ·Phase: PHASE1
-
Anesthesia for Awake Fiberoptic Intubation
NCT00948350 ·Status: COMPLETED ·Phase: NA
-
Propofol Sedation During Upper Endoscopy With and Without Topical Pharyngeal Anesthesia
NCT01081002 ·Status: COMPLETED ·Phase: PHASE4
-
Population Pharmacodynamic Modeling of the Sedative and Side Effects of Propofol
NCT02173340 ·Status: COMPLETED
-
The Application of Balanced Propofol Sedation in Fiberoptic Bronchoscopy
NCT06116955 ·Status: COMPLETED
-
Effects of Anesthesia Type on QoR-40
NCT06423313 ·Status: COMPLETED
-
Comparison of Propofol/Alfentanil With Propofol/Ketamine
NCT02000206 ·Status: UNKNOWN ·Phase: NA
-
Application of New Oropharyngeal Airway Management in Patients Undergoing Painless Gastroenteroscopy
NCT06304337 ·Status: RECRUITING ·Phase: NA
-
Opioid Free Anesthesia in ENT Surgery
NCT04105946 ·Status: UNKNOWN ·Phase: NA
-
Pregabalin Stabilize Cardiovascular Response to Intubation
NCT03456947 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Rocuronium on the Response of Composite Variability Index (CVI) to Laryngoscopy
NCT00926718 ·Status: UNKNOWN ·Phase: NA