Awake Fiber Optic Intubation (AFOI) and Laryngeal Nervous Block
Status:
Unknown status
Trial end date:
2018-08-01
Target enrollment:
Participant gender:
Summary
Oncologic laryngeal surgery is a challenge for anesthesiologists and awake fiberoptic
intubation (AFOI) is mandatory to manage difficult airways and prevent the Can't Intubate
Can't Oxigenate (CICO). Laryngospasm and oversedation are dangerous complication often
life-threatening in this kind of patient. Superior laryngeal nerve block (SLNB) could be an
alternative technique useful to reduce risks and to improve patient comfort. Aim of this
study is to assess the procedural comfort of the SLNB during AFOI, in a population of
patients suffering from severe airways obstruction undergoing pharyngeal-laryngeal surgery.
40 patients will be randomized in two groups(20 for each group) and will be treated with
continuous infusion of remifentanil, topic anesthesia of the base of the tongue and
intercricoid block. In group A will be associated the SLNB; placebo will be administered in
group B.