Expected Difficult Airway Management

Completed

• Conditions: Awake Intubation; Advanced Airway Techniques
• Interventions: Procedure: fiberoptic intubation; Procedure: videolaryngoscopy; Procedure: laryngeal mask airway-mediated aintree catheter

• Registration Number: NCT06279416
• Lead Sponsor: Kocaeli City Hospital

Brief Summary

In this study, the investigators will evaluate the advanced airway methods applied in the anesthesiology and reanimation clinic of the hospital to patients who met the criteria for awake intubation specified in the ASA 2022 difficult airway management guideline or who could not be intubated after induction of anesthesia in another center. The advanced airway method applied to the difficult airway patient expected in the operating room, the duration, success and complications of the method will be observed and recorded.

Detailed Description

Patients who meet the inclusion criteria will be informed about the difficult airway and their verbal and written consent will be obtained.

When participants are taken to the room, an observer will be in the operation room. There was no emergency to the patient's primary anesthesiologist, will not be involved. Record patients' demographic data, Mallampati scores, thyromental distance, and neck circumference.

The airway method preferred by the physician, procedure duration, number of attempts, success, and complications will be recorded.

Study Timeline

• Study Start: 2023-12-30
• Study First Submitted: 2024-02-19
• Study First Submitted QC: 2024-02-26
• Study First Posted: 2024-02-28
• Primary Completion: 2024-12-30
• Study Completion: 2024-12-30
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-13
• Last Update Posted: 2025-01-15

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• Over 18 years old
• Meets the expected difficult airway criteria
• Being awakened after induction of anesthesia in another center
• At least one of the awake intubation criteria in the DAS 2022 guideline
• Elective surgeries

Exclusion Criteria

• Emergency surgeries
• Patients intubated with anesthesia
• Noncoopere patients

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
grup-1: awake nasal fiberoptic intubation	fiberoptic intubation	awake nasal fiberoptic intubation
grup-3: awake intubation with videolaryngoscopy	videolaryngoscopy	awake intubation with videolaryngoscopy
grup-2: awake intubation with laryngeal mask airway-mediated aintree catheter	laryngeal mask airway-mediated aintree catheter	awake intubation with laryngeal mask airway-mediated aintree catheter

Primary Outcome Measures

Name	Time	Method
Comparison of advanced airway methods in the awake patient with difficult airway.	1 year	Comparison of the superiority of advanced airway methods applied to the expected difficult airway patient in the operating room. The number of attempts and duration for successful intubation between groups will be examined.

Trial Locations

Locations (1)

Kocaeli City Hospital; 🇹🇷 Kocaeli, Turkey