Comparison of El-Ganzouri Risk Index and Airway Ultrasonographic Evaluation in Thyroid Surgery
- Conditions
- Thyroid SurgeryDifficult Intubation
- Interventions
- Procedure: Thyroid Surgery
- Registration Number
- NCT06369636
- Lead Sponsor
- Ankara City Hospital Bilkent
- Brief Summary
The primary purpose of this prospective observational study was to compare these tests used to predict difficult intubation in patients undergoing thyroid surgery. Secondarily; By comparing these tests, we aim to find the test that best predicts difficult intubation and to determine the incidence of difficult intubation in patients who will undergo thyroid surgery.
- Detailed Description
Patients' demographic information (age, gender, American Society of Anesthesiologists (ASA) classification, STOP-BANG score(snoring, feeling tired, observed apnea, hypertension, obesity, age, neck circumference and gender), body mass index) and thyroid ultrasonographic measurement will be recorded.
At the preoperative visit, patients will be evaluated for El-Ganzouri Risk Index (EGRI) scores (mouth opening, thyromental distance, mallampati score, neck movement limitation, presence of prognathia, body weight and history of difficult intubation) and for airway ultrasonography (skin-epiglottis distance, skin-hyoid bone distance, skin-vocal cord distance, tongue thickness and tongue volume values).
After this information is recorded, patients will be grouped as those expected difficult intubation and those who are not. After the patients are taken to the operating table and monitored, vascular access will be opened, standard anesthesia induction will be applied to the patients by the room specialist, and laryngoscopy and endotracheal intubation will be performed by the trained (\>2 years experienced) anesthesiologist. If Intubation Difficulty Scale (IDS) score will be greater than 5, patient will be considered difficult intubation.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 120
- Patients with ASA scores 1-3
- Patients between 18-65 age
- Patients who undergo thyroid surgery
- Patients who do not accept to participate the research
- Patients under age 18 and over age 65
- Pregnant patients
- Patients who undergo surgery due to emergency medical conditions (such as hematoma, thyroid crisis or myxedema coma)
- Patients with airway malformations
- Patients with a high risk of aspiration
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Difficult Intubation Not Expected Thyroid Surgery Patients who do not meet the criteria just mentioned Difficult Intubation Expected Thyroid Surgery Patients whose EGRI scores are equal or greater than 4, or whose skin to epiglottis measurement are greater than 18 mm, skin to hyoid bone measurement are greater than 14 mm, skin to anterior commissure of vocal cords are greater than 13 mm, tongue thickness are greater than 60 mm and tongue volume greater than 100 cm3.
- Primary Outcome Measures
Name Time Method Compare EGRI and airway ultrasonographic parameters Up to 6 months, until the end of the study Compare EGRI and airway ultrasonography for predicting difficult intubation in patients who undergoing thyroid surgery
- Secondary Outcome Measures
Name Time Method Find which is the best test predicts difficult intubation Up to 6 months, until the end of the study by comparing these tests to decide which test is the best predictor for difficult intubation in thyroid surgery
Finding the incidence of difficult intubation in thyroid surgery Up to 6 months, until the end of the study Determine the incidence of difficult intubation in thyroid surgery
Trial Locations
- Locations (1)
Ankara Bilkent City Hospital
🇹🇷Ankara, Çankaya, Turkey