Visual Examination of Airway Via Flexible Fiberoptic Scope After Cervical Spine Surgery

Launched by STATE UNIVERSITY OF NEW YORK - UPSTATE MEDICAL UNIVERSITY · Jan 18, 2024

Keywords

ClinConnect Summary

Because direct visualization of the airway is the most reliable way for the diagnosing and assessing the degree of laryngeal and trachea edema or swelling, investigators sought to do a study to evaluate the degree of airway edema in adult patients undergoing for CSS using direct visualization via flexible fiberoptic and compare the results pre and post- operatively.

The primary outcome will be severity of larynx and trachea edema after cervical spine surgery.

Secondary outcome will be assessment of reliability of airway leak technique and association between face swelling and airway edema...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Adult patient age 18-70 years.
• • 2. Elective cervical spine surgeries involving in upper CSS, ≥ 2 levels, surgical duration ≥ 2 hours
• • 3. ASA class \<4
• Exclusion Criteria:
• • 1. RSI (rapid-sequence induction) and patients with high aspiration risk (postpartum).
• • 2. Emergency surgery
• • 3. Angioedema
• • 4. History of airway malignancy.
• • 5. Recent upper airway surgery.
• • 6. Significant recent upper airway infection or abscess.
• • 7. History of radiation therapy
• • 8. Nasogastric tube in place.
• • 9. Tracheostomy in place.
• • 10. History of basal skull fracture or extensive maxillofacial fracture.
• • 11. Severe nasal septum deviation.
• • 12. Morbid obesity BMI \> 40.
• • 13. Surgery involves in C1.
• • 14. History of epistaxis or bleeding disorder