COMPARATIVE EVALUATION OF MALLAMPATI SCORE, UPPER LIPBITE AND THYROMENTAL DISTANCE TO PREDICT DIFFICULT INTUBATION WITH CORMACK LEHANE SCORE
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- no single test correctly predicts all cases of difficult intubation
研究概览
简要总结
Difficult airway is the one where the process of induction ofanesthesia and intubation oftrachea can be potentially lifethreatening and can cause the delay or failure of intubation ,which significantly increases the morbidity andmortality of general anesthesia.[1]
Up to around 30% ofanesthetic deaths are due to a compromised airway.[2]
The major role of an anesthesiologist is to anticipatedifficult airway and to maintain apatent airway and gas exchange and avoid any complications related tointubation .Unanticipated difficult intubations are major concern .The identification of patients with difficult airways is very crucial during preoperative evaluations [3]
There are several test thatcan be done to identify patients with difficult airways, which includes frombasic tests to more advanced test.Manystudies have been done to perform some bedside tests that are quick , easy to perform and no need of any special equipment.These bedside tests play a vital role during preoperativeexamination, anticipate the risk and identify the patients with potentialdifficult intubation to avoid complications.
研究设计
- 研究类型
- Interventional
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •elective surgery under general anaesthesia with endotracheal intubation for various surgeries (abdominal, gynecological , obstetric, urological, neuro-surgery, eye, orthopedic, ENT and plastic surgeries), age=18 -60years ,ASA physical status Class I–II.
排除标准
- •Patient refusal Obese Pregnant Asa> 2 Difficult airway.
结局指标
主要结局
no single test correctly predicts all cases of difficult intubation
时间窗: 4 weeks and 8 weeks
次要结局
- any clinical test that is used for prediction of these difficult airways should be quick, simple, convenient, & practical. Unfortunately, there is still no individual test, or combination of tests, with 100% sensitivity (i.e., no false negatives) & 100% speci- ficity (i.e., no false positives(4 weeks & 8 weeks)