Comparison of Video Laryngeal Mask Airway and Endotracheal Tube Use for Airway Safety in Patients Undergoing Septoplasty

What this Trial Is About

Researchers are comparing two airway devices, a video laryngeal mask airway (VLMA) and a standard endotracheal tube (ETT), in adults aged 18 to 65 undergoing elective septoplasty surgery. The main goal is to see which device better prevents blood contamination in the airway during surgery. The study also evaluates heart rate, blood pressure, ventilation, and recovery factors like sore throat and comfort after surgery to find the best airway device for nasal procedures. Participants will be randomly assigned to one of two groups: one using the VLMA with a built-in camera for direct visualization of the airway, and the other using the standard ETT inserted with direct laryngoscopy. Both groups will have blood contamination assessed in the distal trachea using a fiberoptic bronchoscope before device removal. The VLMA group has the added advantage of video inspection of the glottic area. All participants will receive standard anesthesia care with drugs like propofol and remifentanil, and monitoring will include anesthesia depth and respiratory and hemodynamic parameters. During and after surgery, researchers will record ventilation data, heart rate, blood pressure, anesthesia and surgical duration, airway insertion success, and any airway complications. After surgery, patients will be monitored until fully recovered, and symptoms such as sore throat, hoarseness, swallowing difficulties, cough, nausea, and airway spasms will be assessed at multiple time points up to 48 hours. This detailed monitoring will help determine which device offers better airway protection, stability, and patient comfort during septoplasty.

Video Laryngeal Mask vs. Endotracheal Tube in Septoplasty