The Correlation of the Cervical Symptoms With Intubation Quality and Airway Assessment

Ankara University

Status: Completed

Conditions: Cervical Pain; Cervical Disease

Treatments: Diagnostic Test: Airway ultrasonography

Study type: Interventional

Funder types: Other

Identifiers

NCT05188807

GErgin

Details and patient eligibility

About

Cervical spine disorders can cause neck pain with or without neurological dysfunction. The most common cause of acute and chronic neck pain is cervical degenerative changes. Surgical decision of cervical pathology is made by anamnesis, neurological examination and imaging methods. Airway management can be difficult for patients presenting for cervical spine surgery. In addition, these patients may have severe cervical spine instability or spinal cord level myelopathy and may develop serious neurological complications associated with the intubation technique. Videolaringoscopes, which have become widely used with the developing technology, provide a better view than direct laryngoscopy in terms of cervical immobilization during intubation. Therefore, videolaryngoscope is preferred for cervical pathologies. Nowadays, the use of videolaryngoscope is recommended in patients with airway difficulty. Neutral position is important for intubation of patients with cervical pathology and it is highly recommended in the literature to evaluate these patients as difficult airways. All cervical patients are intubated with videolaryngoscope in investigator's clinic. The aim of this study was to evaluate how long the duration of cervical pathology affects airway anatomy and how it affects airway management during anesthesia. On the other hand, airway-related measurements will be performed by MRI and ultrasonography (USG), which is routinely evaluated in the diagnosis process, and it will be aimed to evaluate these measurements in terms of their effects on intubation quality. At the end of the study, all evaluations were analyzed and it was aimed to compare the effects of other evaluated parameters (such as USG and MRI measurements) on intubation difficulty level, with cervical pathology duration being primary.

Enrollment: 82 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Elective cervical surgery

Exclusion criteria

• Patients undergoing emergency surgery
• Cervical tumor patients
• Patients with cognitive dysfunction
• Patients with previous cervical surgery
• Pediatric patients
• Cervical trauma patients
• The presence of cervical spondylitis, spondylodiscitis

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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82 participants in 1 patient group

The patient with cervical pathology

Experimental group

Description:

we will perform airway ultrasonography before the patients intubations and we will intubate the patients before cervical surgery

Treatment:

Diagnostic Test: Airway ultrasonography