Use of Clinical and Ultrasonographic Parameters for Prediction of Difficult Laryngoscopy in Patients with Oral and Oro-Pharyngeal Malignancies
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 85
- 试验地点
- 1
- 主要终点
- Anticipation of difficult intubation in oral and oro-pharyngeal malignancies using
研究概览
简要总结
Introduction: Difficult airway management is a critical challenge for anaesthesia providers. Failure to recognise difficult laryngoscopy can often lead to significant morbidity and mortality in patients with oral and oro-pharyngeal malignancies. In this study various clinical and ultrasonographic parameters will be used to anticipate difficult airway in such patients.
Aim: The aim of the study is to evaluates clinical (Modified Mallampati grading, interincisor gap, thyromental distance, neck movements, upper lip bite, jaw protrusion) and ultrasonographic parameters (skin to epiglottis distance, skin to hyoid bone distance, skin to vocal cords distance, tongue thickness) to predict difficult laryngoscopy in patients with oral and oro-pharyngeal malignancies.
Methodology: Airway assessment of patients with oral and oro – pharyngeal malignancies will be performed using clinical and ultrasonographic parameters and ease of Cormack lehane grading
Outcome/Significance: The outcome of using clinical and ultrasonographic parameters for predicting difficult laryngoscopy in patients with oral and oro-pharyngeal malignancies demonstrates their potential utility in enhancing preoperative risk assessment.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 盲法
- None
入排标准
- 年龄范围
- 18.00 Year(s) 至 80.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Patients undergoing elective surgery for oral and oro-pharyngal cancer
- •Patients who consent to the use of assessment methods (clinical and ultrasonographic parameters ).
排除标准
- •1.Previous history of head and neck surgery 2.Already tracheostomised patients or in where tracheotomy was deemed as the primary method of airway management 3.Patients in whom laryngoscopy was not attempted (fibro-optic / flexible videoendoscope used as primary method for intubation ) 4.BMI more than 30 kg/m2.
结局指标
主要结局
Anticipation of difficult intubation in oral and oro-pharyngeal malignancies using
时间窗: from the time patient is assessed in pre recovery till the tube places
clinical and ultrasonographic parameters
时间窗: from the time patient is assessed in pre recovery till the tube places
次要结局
- diagnostic accuracy of both parameters(from the time patient is assessed in pre recovery till the tube places)
研究者
Dr Shubhdeep
Sri Guru Ram Das Institute of Medical Sciences and Research