Difficult Intubation and Tongue Protrusion

T

Trakya University

Status

Completed

Conditions

Difficult Intubation, Tongue Mobility

Treatments

Other: Protrude tongue maximally and downward (PTMD)
Other: Protrude tongue maximally and upward (PTMU)

Study type

Interventional

Funder types

Other

Identifiers

NCT02679027
tongueintubation

Details and patient eligibility

About

Objectives: The aim of study is to determine the possible usage of tongue movements out of the mouth in the prediction of difficult intubation. Method: Two hundred twenty three patients undergoing abdominal surgery with general anesthesia between 2014 and 2015 were enrolled in this study. Difficult intubation was evaluated using the intubation difficulty scale (IDS) score. All intubations were performed by anesthesiologist to eliminate the differences among the anesthesiologists' experiences. IDS score were evaluated by anesthesiologists who had no idea about the measurements of the tongue movements and performed laryngeal intubation in all patients. To define the tongue movements, horizontal lines were used. Horizontal line were passing through the mid points of mandible and upper lip height. Patients were asked to protrude tongue maximally and upward (PTMU), to protrude tongue maximally and downward (PTMD) in anatomical neutral position which was sitting down on a chair.

Enrollment

223 patients

Sex

All

Ages

18 to 70 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Undergoing abdominal surgery with general anesthesia
  • Able to sit

Exclusion criteria

  • Enable to sit,
  • Patients had head or neck surgery,
  • Patients with unstable cardiological and respiratory hemodynamic symptoms,
  • Dental prosthesis

Trial design

Primary purpose

Diagnostic

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

223 participants in 2 patient groups

Easy intubation
Active Comparator group
Description:
Intubation difficulty score <5
Treatment:
Other: Protrude tongue maximally and upward (PTMU)
Other: Protrude tongue maximally and downward (PTMD)
Difficult intubation
Active Comparator group
Description:
Intubation difficulty score >5
Treatment:
Other: Protrude tongue maximally and upward (PTMU)
Other: Protrude tongue maximally and downward (PTMD)

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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