Comparison of Airway Ultrasound Measurements

Ankara Ataturk Sanatorium Training and Research Hospital

Status: Completed

Conditions: Intubation; Difficult or Failed

Treatments: Other: No intervention

Study type: Observational

Funder types: Other

Identifiers

NCT06928402

SK001

Details and patient eligibility

About

Evaluating the success of measurements taken with ultrasound airway imaging in predicting difficult intubation by comparing conventional parameters in terms of difficult intubation and the proportion of patients encountered during intubation and characterised as difficult.

Full description

Clinical screening tests, which have long been routinely used for airway assessment, do not have sufficient sensitivity and specificity to detect difficult laryngoscopy. The Cormack-Lehane laryngoscopy classification, which can be assessed during direct laryngoscopy, is an invasive procedure and is not suitable for routine preoperative airway assessment. Preoperative airway assessment using ultrasound can help to predict a difficult laryngoscopy and/or difficult intubation and is growing in popularity as a non-invasive diagnostic tool. Several recent studies have emphasised the importance of various ultrasound-mediated airway measurements in predicting difficult intubation, and have shown that measurements with different parameters and data obtained by ratioing some measurements to each other may have an important role. However, the parameters obtained by ultrasound-mediated airway measurement can help determine airway anatomy and guide airway interventions with dynamic real-time images.

In this study, investigators used hyoid bone visibility obtained through preoperative ultrasound evaluation of the upper airway, followed by measurements of the skin-hyoid distance, skin-cricothyroid membrane distance and length, and hyomental distance in two different positions-neutral and extension. The ratios of these measurements were analyzed to predict difficult intubation. Traditional parameters commonly used as indicators of difficult ventilation and/or intubation, such as the Mallampati-Samsoon classification, upper lip bite test, thyromental distance, sternomental distance, neck circumference, maximum mouth opening, Wilson difficult intubation score, and Han ventilation scale, were also included in the study.

Enrollment: 420 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients to be operated with endotracheal intubation under elective conditions
• Voluntary patients whose informed consent was obtained,
• Patients older than 18 years
• Patients evaluated in the 1-2-3 category of the American Society of Anaesthesiologist (ASA)

Exclusion criteria

• Patients with a history of difficult intubation
• Pregnant patients
• Patients with a history of surgery in the head and neck region
• Patients with a history of trauma or tumour in the head and neck region
• Presence of a syndrome that will cause difficult intubation
• Uncooperative patients,
• Patients with missing data

Trial design

420 participants in 1 patient group

Airway Measurement Group

Description:

As this study is observational in nature, no interventions will be performed by the research team. The study will ,nvolve a single group, within which the incidence and prevalence of the outcomes will be assessed.

Treatment:

Other: No intervention