Role of ultrasonographic parameters in DARES criteria for improving the quality, safety and efficacy of airway management: A prospective study.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- The primary outcome will be
研究概览
简要总结
Airway management involves preoperative evaluation. Ultrasonography is a very good method by predicting Cormack lehane score and correlating with difficult laryngoscopy. Dares criteria involves Distance from skin to epiglottis, hyo mental distance, hyo mental distance ratio 1 , (ratio of hyo mental distance in ramped position to head in neutral position0. and hyo mental distance ratio 2 ( Hyo mental distance in hyperextended position to neutral position)and Tongue thickness . Cormack lehane score on direct laryngoscopy grade 3 and 4 is difficult laryngoscopy.HMDR1 less than 1.12 and HMDR2 less than 1.08, Tongue thickness more than 6cm and Distance from skin to epiglottis more than 2.5cm is the cutoff for difficult laryngoscopy. Area under the curve , sensitivity and specificity of the predictive model can be used for predicting difficult laryngoscopy
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 75.00 Year(s)（—）
- 性别
- All
入选标准
- •Patients of either sex, ASA I or II, scheduled for surgical procedures under general anesthesia requiring intubation at Government Medical College, Kottayam during 2025-2026.
排除标准
- •The exclusion criteria for ultrasonographic study will be limited neck mobility secondary to cervical spine fractures or tumours, limited neck extension including arthritis, documented history of difficult intubation, pregnant women, post burns contracture of neck or perioral region.
结局指标
主要结局
The primary outcome will be
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
1.Indication of surgery
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
2.Predictors (clinical and ultrasonographic) of difficult face mask ventilation or intubation
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
3.To determine the Total intubation time (in seconds)
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
4.To compare the visualization of airway using Modified Cormack-Lehane grading.
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
5.To assess the ease of intubation (score)
时间窗: Date of first enrolment : 01- 10- 2025. | Date of study completion : 01- 03- 2026. Date of IRB Approval : 27- 02- 2024
次要结局
- 1.Number of intubation attempts required(2.Any rescue devices used.)
研究者
Sheeba franklin
Government Medical College Kottayam