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

Not Applicable

Completed

• Conditions: Cervical Disease; Cervical Pain
• Interventions: Diagnostic Test: Airway ultrasonography

• Registration Number: NCT05188807
• Lead Sponsor: Ankara University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-08-01
• Study First Submitted: 2021-12-04
• Study First Submitted QC: 2021-12-26
• Study First Posted: 2022-01-12
• Primary Completion: 2023-08-30
• Status Verified: 2023-11
• Study Completion: 2023-11-01
• Last Update Submitted: 2023-11-15
• Last Update Posted: 2023-11-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 82

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
The patient with cervical pathology	Airway ultrasonography	we will perform airway ultrasonography before the patients intubations and we will intubate the patients before cervical surgery

Primary Outcome Measures

Name	Time	Method
intubation time in seconds	10 minutes	for assessing the degree of difficulty in intubation

Secondary Outcome Measures

Name	Time	Method
distance of measurements of airway	10 minutes	ultrasonographic measurements such as skin epiglottis distance, skin hyoid distance, epiglottis to vocal cords distance, hyomental distance

Trial Locations

Locations (1)

Ankara University School of Medicine; 🇹🇷 Ankara, Turkey