Asleep Fiberoptic vs Direct Laryngoscopy Effect on Hemodynamic Stability Using Opioid Free Anesthesia Induction
American University of Beirut Medical Center
90 participants
Sep 11, 2024
INTERVENTIONAL
Conditions
Summary
The goal of this clinical trial is to compare blood pressure and heart rate between the fiberoptic and direct oral intubation using opioid free anesthesia induction. Secondary objectives include comparing the time needed for intubation and the incidence of postoperative sore throat, hoarseness, and upper airway trauma in adults aging between 18 to 55 years, scheduled for elective surgery under general anesthesia. The main question it aims to answer is: Does fiberoptic intubation cause less hemodynamic instability than direct oral intubation using opioid free anesthesia induction?
Eligibility
Inclusion Criteria3
- ASA (American Society of Anesthesiologists) physical status I and II
- Range age of 18-55 years' old
- Scheduled for elective surgery under general anesthesia.
Exclusion Criteria12
- History of cardiovascular diseases.
- History of lung disease.
- Hypertensive patient (BP\> 140/90)
- Patient taking medications that affect blood pressure and heart rate
- Morbid obesity (BMI \>30)
- Severe GERD
- Predicted difficult airway (Short TMD \<6 cm, Upper li bite test grade III, Mallampati score
- \>III)
- Neck instability
- Patient planned to receive rapid sequence intubation
- Patient refusal to participate
- History of difficult intubation/ ventilation
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Interventions
direct conventional laryngoscopy will be performed with N3 (for females) or N4 (for males) Macintosh laryngoscope blade.
fiberoptic guided intubation will be performed.
Locations(1)
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NCT06487988