Evaluation of Ultrasounographic Measurements and Anthropometric Measurements as Predictors of Difficult Direct Laryngoscopy
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Difficult Airway Intubation
- Sponsor
- Kırıkkale University
- Enrollment
- 127
- Locations
- 1
- Primary Endpoint
- Cormack Lehane classification
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
In this study, anthropometric measurements (clinical measurements) will be applied in all patient groups; expected (to be difficult to provide airway patency as a result of detailed history, physical examination and evaluation tests performed by an experienced anesthesiologist), and unexpected (although it was not predicted that a difficulty was encountered). And ultrasounographic measurements will be applied in all patients. The aim of this study is to evaluate the predictive accuracy of ultrasonographic measurements.
Detailed Description
In the preoperative period, the following clinical tests will be performed before the patient arrives in the operating room and when the patient arrives, the measurements will be made by ultrasonography. 1. Mallampati classification 2. Determination of mouth opening (interinsizer distance) 3. Thyromental distance 4. Sternomental distance Preoperative evaluation of the patients and clinical results of the airway tests (mentioned above) will be recorded. The cervical soft tissue thickness will be measured and recorded at 3 levels (thyrohyoid membrane, vocal cord, hyoid bone) with the help of ultrasonography (mentioned above). In addition, since all patients will be under general anesthesia, laryngoscopic images (laryngoscopic evaluation according to Cormack Lehane classification) routinely recorded on the anesthesia follow-up sheet will be recorded.
Investigators
Kevser Peker
assitant professor
Kırıkkale University
Eligibility Criteria
Inclusion Criteria
- •patients under general anesthesia
- •ASA 1-2-3
Exclusion Criteria
- •Patients who will undergo emergency surgery,
- •pregnant women,
- •children,
- •patients who may have difficulty in airway management due to cervical instability,
- •patients with trauma or malignancy in the neck region
Outcomes
Primary Outcomes
Cormack Lehane classification
Time Frame: during the intubation period
Laryngoscopic evaluation according to Cormack Lehane classification
Secondary Outcomes
- ultrasonographic measurement(15 min before the operation)