Anesthesia for Awake Fiberoptic Intubation

Klinikum St. Georg gGmbH

Status: Completed

Conditions: Intubation

Treatments: Procedure: awake intubation

Study type: Interventional

Funder types: Other

Identifiers

NCT00948350

Stu08/0041

EK-BR-34/08-1

Details and patient eligibility

About

This is a prospective, comparative, randomized, monocentric, clinical open study, to compare two anesthesia techniques (translaryngeal injection vs. spray as you go) in patients with cervical instability with regard to technical modalities and quality of fiberoptic awake intubation.

Full description

In patients with cervical instability anesthesia induction and conventional intubation are associated with the risk of neurological harm. Therefore the method of choice for anesthesia induction is the fiberoptic awake intubation. This method allows to place the ventilation tube without movement of the cervical spinal cord. This procedure is very uncomfortable for the patient and needs the application of topic and/or systemic anesthetics.

With this clinical study we will compare two established techniques for local laryngeal anesthesia with regard to the quality of technical modalities and postoperative outcome.

Enrollment: 120 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with cervical instability undergoing elective decompression of cervical spine

Exclusion criteria

• patient refused participation
• contraindications for awake intubation techniques (e.g. nasal bleeding, anatomical disorders)
• patient under alcohol or drugs
• emergency surgery

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

translaryngeal injection

Active Comparator group

Description:

translaryngeal injection of local anesthetics before the awake intubation

Treatment:

Procedure: awake intubation

spray as you go

Active Comparator group

Description:

local anesthetics are given through the fiberoptic during awake intubation

Treatment:

Procedure: awake intubation