Preoperative Prediction of Difficult Laryngoscopy in Diabetic Patients: Importance of the Palm Print Test
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 1
- 主要终点
- Difficult laryngoscopy
研究概览
简要总结
The investigators assessed upper airway management at the pre-anaesthetic consultation using the usual clinical criteria. On the day before surgery, diabetic patients were assessed for the palm print sign to predict difficult laryngoscopy. After induction of anesthesia, laryngoscopy was performed with a Macintosh metal laryngoscope blade. At this stage of the study, patients were categorized into two groups: difficult and easy laryngoscopy.
详细描述
During pre-anesthesia consultation, all participants were assessed for airway conditions using usual clinical tests (Mallampati classification, Thyromental distance, mouth-opening test, upper lip biting test (ULBT), Head extension and Prayer sign). Demographic characteristics, diabetes duration, Blood glucose regulation and diabetes-related complications were also recorded.
On the day before surgery, patients were assessed for the palm print sign during preoperative evaluation rounds. On the day of surgery, after an intravenous line (IV) and complete monitoring, induction of anesthesia was initiated, and a muscle relaxant was used to facilitate intubation. Laryngoscopy was performed with a Macintosh metal laryngoscope blade by an anesthesiologist who had more than 2 years of intubation experience. McGrath® videolaryngoscope, McCoy laryngoscope, LMA Fastrack®, or i-gel® airway were kept ready for emergency situations. At this stage of the study, patients were categorized into two groups: difficult and easy laryngoscopy.
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
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •diabetes mellitus
- •aged more than 18 years
- •undergoing surgery under general anesthesia with endotracheal intubation.
排除标准
- •physical or intellectual disabilities preventing cooperation
- •Malformations, trauma, tumors, or infections of the maxillofacial region and upper airways,
- •a history of burns or cervicofacial irradiation
- •neurosurgical conditions causing temporomandibular pseudoankylosis.
- •hand joint stiffness (e.g., carpal tunnel syndrome, Dupuytren's disease, scleroderma, rheumatoid arthritis)
- •restricted cervical mobility (due to osteoarthritis, ankylosing spondylitis, or cervical trauma),
- •a history of difficult intubation
- •pregnancy (including up to six weeks postpartum)
结局指标
主要结局
Difficult laryngoscopy
时间窗: after induction of anesthesia and during laryngoscopy
Cormack and Lehane graded I to IV. Grades III or IV showed difficult laryngoscopy.
次要结局
- Difficult intubation(at induction of anesthesia)
研究者
Mhamed Sami Mebazaa
Clinical Professor
Mongi Slim Hospital