Evaluation of the Feasibility and Safety of Laryngoscopic Microsurgery Under Non-intubation Anesthesia
NCT05420649 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 49
Last updated 2023-10-27
Summary
Nonintubated anesthesia applied in combination with high-flow nasal oxygen (HFNO) is an alternative strategy for laryngeal microsurgery (LMS). LMS is a common procedure in otolaryngology that typically requires endotracheal tube intubation under general anesthesia. Endotracheal tube intubation causes complications; a nonintubated strategy can avoid these complications and provide a clearer surgical field of vision, enabling vocal cord inspection and disposal. Administering a muscle relaxant can also help prevent bucking during surgery but can engender apnea and hypercapnia, which may have negative effects on hemodynamics. Therefore, the investigators assessed the effectiveness of a superior laryngeal nerve block (SLNB) with intravenous general anesthesia in maintaining spontaneous breathing and improving safety during LMS with nonintubated anesthesia.
Conditions
- Spontaneous Breathing
- Laryngomicrosurgery
- Superior Laryngeal Nerve Block
Interventions
- PROCEDURE
-
Non-intubated Laryngomicrosurgery
Non-intubated LMS was performed with assistance of Optiflow (HFNO).
Sponsors & Collaborators
-
Kaohsiung Veterans General Hospital.
lead OTHER
Principal Investigators
-
Yuan Yi Chia, Director · Kaohsiung Veterans General Hospital.
-
Yu Ting Kuo, physician · Kaohsiung Veterans General Hospital.
-
Ting Shou Chang, physician · Kaohsiung Veterans General Hospital.
-
Chih Chi Tsai, RA · Kaohsiung Veterans General Hospital.
-
Li-Ya Tseng, physician · Kaohsiung Veterans General Hospital.
-
Pei-Wen Shen, physician · Kaohsiung Veterans General Hospital.
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-10-20
- Primary Completion
- 2022-10-26
- Completion
- 2022-10-26
Countries
- Taiwan
Study Locations
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