Department of Anesthesiology, Peking University Third Hospital, Associate Chief Physician; M.D.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Cormack-Lehane (CL) classification
研究概览
简要总结
Based on the evaluation of preoperative physical indicators and radiologic indicators of cervical surgery, this study puts forward effective indicators for predicting difficult airway before operation, and establishes a comprehensive decision support system of difficult airway evaluation, so as to provide a theoretical basis for the early warning of difficult airway before cervical spondylosis surgery.
详细描述
In the past, the evaluation of difficult airway mainly depended on physical indicators, but the internal structure of airway could not be found by appearance inspection. Therefore, unexpected emergency airway often appeared in clinical work, which seriously affected medical safety. In this study, the specific mechanism of difficult laryngoscopy in patients undergoing cervical spondylosis surgery is clarified by the combination of the physical indicators and radiologic indicators. On this basis, we will establish the preoperative airway evaluation system for cervical spondylosis surgery, optimize the standardized process of preoperative airway evaluation, and accurately screen out high-risk patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 20 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients of ASA I-III
- •scheduled for elective surgery for cervical spondylosis under general anesthesia with tracheal intubation
排除标准
- •patients with cervical spine instability
- •oropharyngeal mass
- •airway disease
- •preoperative imaging data were incomplete
- •refuse to sign informed consent
结局指标
主要结局
Cormack-Lehane (CL) classification
时间窗: During induction
describe laryngeal view during direct laryngoscopy
次要结局
- X2(X-ray indicators)(During review the X-ray image)
- X3(X-ray indicators)(During review the X-ray image)
- Dt (CT/MRI indicators)(During review the CT/MRI image)
- X7(X-ray indicators)(During review the X-ray image)
- W (CT/MRI indicators)(During review the CT/MRI image)
- V (CT/MRI indicators)(During review the CT/MRI image)
- MRI1 (MRI indicators)(During review the CT/MRI image)
- MRI4 (MRI indicators)(During review the CT/MRI image)
- MRI5 (MRI indicators)(During review the CT/MRI image)
- X4(X-ray indicators)(During review the X-ray image)
- X5(X-ray indicators)(During review the X-ray image)
- X8(X-ray indicators)(During review the X-ray image)
- A1 (X-ray indicators)(During review the X-ray image)
- S (CT/MRI indicators)(During review the CT/MRI image)
- Rs (CT/MRI indicators)(During review the CT/MRI image)
- MRI3 (MRI indicators)(During review the CT/MRI image)
- X1(X-ray indicators)(During review the X-ray image)
- X6(X-ray indicators)(During review the X-ray image)
- Hp-h (CT/MRI indicators)(During review the CT/MRI image)
- Ht (CT/MRI indicators)(During review the CT/MRI image)
- Dt-p (CT/MRI indicators)(During review the CT/MRI image)
- MRI2 (MRI indicators)(During review the CT/MRI image)