Airway Ultrasound to Predict Obstructive Sleep Apnea Syndrome in Children and Its Correlation With Clinical Signs and Symptoms of Obstructive Sleep Apnea
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 发起方
- 试验地点
- 1
- 主要终点
- Hyo-mental distance
研究概览
简要总结
This is a novel approach to assess the use of ultrasound to support the identification of obstructive sleep apnea syndrome (OSAS) on a screening questionnaire, and potentially to predict a difficult pediatric airway. The investigators hope to determine if a combination of simple bedside clinical tests can be used to identify OSAS in patients who present for surgery with clinical signs of OSAS but without a formal polysomnography.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
入排标准
- 年龄范围
- 3 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All children presenting for surgery at NCH ranging in age from 3-12 years
排除标准
- •Parent/ patient refusal to participate in study
研究组 & 干预措施
Difficult Airway
Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral).
干预措施: Ultrasound (Procedure)
Obstructive Sleep Apnea
Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral).
干预措施: Ultrasound (Procedure)
Predictive Obstructive Sleep Apnea
The following 6 questions will be asked during the preoperative visit:
- While sleeping, does your child snore more than half the time?
- While sleeping, does your child always snore?
- Have you ever seen your child stop breathing during the night?
- Does your child occasionally wet the bed?
- Did your child stop growing at a normal rate at any time since birth?
- Is your child overweight
干预措施: Questionnaire (Other)
结局指标
主要结局
Hyo-mental distance
时间窗: 5 minutes before surgery starts
The distance from the hyoid bone to the mentum to predict difficult airway.
次要结局
- Questionnaire(30 minutes before surgery)
- Tongue width(5 minutes after being intubated in surgery)
- Tonsil size(5 minutes after being intubated in surgery)
研究者
Vidya Raman
Clinical Assistant Professor
Nationwide Children's Hospital