Comparison Between VCV and FCV Through Ultra-thin Tube in Upper Airway Surgery
Ventilation Therapy; Complications, Trachea
About this trial
This is an interventional treatment trial for Ventilation Therapy; Complications focused on measuring Flow Controlled Ventilation,, Tritube,, Volume Controlled Ventilation,
Eligibility Criteria
Inclusion Criteria:
- Adult population of both sex (ASA I, II).
- Between18-65 years of age.
- Patients for the upper airway.
- Patients need intubation/invasive mechanical ventilation.
Exclusion Criteria:
- ASA >II
- Advanced Respiratory disease.
- Advanced cardiovascular disease.
- Smokers.
- Pregnancy.
- Recent upper airway trauma.
- Age less than 18 years or more than 65 years.
- Patients BMI of more than 35
- Refuse to sign the consent.
Sites / Locations
- ACC&HGH, Hamad Medical CorporationRecruiting
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Standard care: Control (Group A)
Intervention Group: (Group B)
Patients who are scheduled for elective surgical upper airway surgery will be given General Anesthesia by an anesthesiologist who is the principal investigator and the surgical procedures will be done by the same ENT surgeon. IV Induction of Anesthesia with Propofol Target controlled infusion (TCI), Remifentanil Target controlled infusion (TCI) and Rocuronium (0.5mg/Kg) for muscle relaxation. The airway will be secured with cuffed endotracheal tube after direct laryngoscopy. After intubation by a Suitable size Endotracheal tube, they will be mechanically ventilated using Volume Controlled Ventilation (VCV) with 40% Oxygen and minute ventilation adjusted to keep ETCO2 of 40 mmHg or less, and a PEEP of 5 cmH2O.
General Anesthesia will be induced with IV Induction of Anesthesia by an anesthesiologist with Propofol (Target controlled infusion), Remifentanil (Target controlled infusion), and Rocuronium (0.5mg/Kg) for muscle relaxation. The airway will be secured with cuffed Tritube after direct laryngoscopy. They will be mechanically ventilated using Flow Controlled Ventilation (FCV) with 40% Oxygen, Flow rate:13L/Min., Peak Airway Pressure (15 cmH2O), and a PEEP of (5 cmH2O) to keep ETCO2 of 40 mmHg or less. The anesthesia will be maintained with Intravenous Infusion of Propofol, Remifentanil (TCI) to keep BIS 40-60.