The Effect of Thyromental Height and Other Difficult Airway Evaluation Parameters

Recruiting

• Conditions: Airway Complication of Anesthesia

• Registration Number: NCT05673707
• Lead Sponsor: Diskapi Yildirim Beyazit Education and Research Hospital

Brief Summary

Many changes occur in the body with age. There are difficulties in endotracheal intubation and the placement of supraglottic airway devices (LMA) in elderly patients due to changes in the tooth and facial structure, and a decrease in temporomandibular joint and neck movements. In the literature, there are studies on the relationship between thyromental height measurement and endotracheal intubation difficulty, but there is no study on the relationship between thyromental height measurement and laryngeal mask placement difficulty.

Detailed Description

Age, gender, height, body weight, body mass index, type of operation, and Mallampati score are recorded in the preoperative evaluations of all patients. For anthropometric measurements, thyromental height, thyromental distance, sterno-mental distance, neck circumference, and mouth opening are measured. After the laryngeal mask is placed after the induction of anesthesia, the location of the LMA is checked with the FOB (fiberoptic bronchoscopy). Ease of insertion was subjectively assessed using a grading score of 1-4 (1, no resistance; 2, mild resistance; 3, moderate resistance; 4, inability to insert the device) by the attending anesthesiologist who inserted the device. After successful placement of the device, the adjustable pressure limiting (APL) valve is adjusted to 30 cm H2O at 3L/minute fresh gas flow, and the airway pressure and leakage amount are measured.

Study Timeline

• Study Start: 2022-07-01
• Primary Completion: 2022-07-30
• Status Verified: 2022-12
• Study First Submitted: 2022-12-21
• Study First Submitted QC: 2022-12-21
• Last Update Submitted: 2022-12-21
• Study First Posted: 2023-01-06
• Last Update Posted: 2023-01-06
• Study Completion: 2023-01-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• over 65 years old
• elective operation
• using laryngeal mask device

Exclusion Criteria

• younger than 65 years old
• urgent or emergency operation
• morbidity obese
• contraindications of all laryngeal mask devices using

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
laryngeal mask placement success	during insertion	The correlation between preoperative thyromental height measurement and laryngeal mask placement success

Trial Locations

Locations (1)

Department of Anesthesiology and Reanimation, University of Health Sciences, Diskapi Yıldırım Beyazit Training and Research Hospital; 🇹🇷 Ankara, Turkey