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Airway Ultrasound Indices for Prediction of Difficult Laryngoscopy in Pediatric Patients

A

Ain Shams University

Status

Invitation-only

Conditions

Airway Ultrasound Indices
Clinical Airway Assessment

Treatments

Other: Clinical airway assessment
Other: Airway ultrasound indices

Study type

Observational

Funder types

Other

Identifiers

NCT07185516
FMASU MD57/2023

Details and patient eligibility

About

The goal of this observational study is to compare the airway ultrasound indices and the preoperative clinical airway assessment concerning the difficult laryngoscopic view in paediatric patients undergoing elective surgery under general anaesthesia

The main question it aims to answer is:

• Do airway ultrasound indices better predict difficult laryngoscopic view in paediatric patients than clinical airway assessment?

Full description

Airway-related morbidity, as a result of an inability to anticipate a difficult airway, remains the primary concern for an anesthesiologist. Various clinical measurements and methods, such as the thyromental distance (TMD), sternomental distance, horizontal length of the mandible, head and neck movement, and the Mallampati score, were used to predict difficult laryngoscopy and intubation in adult patients. However, using these measurements in the pediatric population is not as easy as in adults.

The use of airway sonography has been extended as an assessment tool for a difficult airway. Various parameters like tongue thickness, anterior soft tissue thickness, and hyomental distance ratio have been used to predict a difficult airway. However, the usefulness of ultrasonography to predict a difficult airway in infants and children has still not been described. This study will compare the effectiveness of clinical measurements to the ultrasound indices in predicting difficult laryngoscopic view in paediatric patients.

Enrollment

130 estimated patients

Sex

All

Ages

7 to 12 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • ASA Class I and II.
  • Patients undergoing elective surgery under general anaesthesia

Exclusion criteria

  • Congenital upper airway malformation.
  • Head and neck swellings.
  • Scars.
  • Radiation to the neck.
  • Tracheotomy.
  • Neurosurgical or cardiac procedures.
  • ENT surgeries.

Trial design

130 participants in 1 patient group

Airway assessment
Description:
clinical and ultrasound assessment of the airway
Treatment:
Other: Airway ultrasound indices
Other: Clinical airway assessment

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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