Actively Recruiting

Age: 18Years - 65Years
All Genders
Healthy Volunteers
ID06884592

Determination of the Incidence of Difficult Intubation and Predictive Factors in Patients Undergoing Nasal Septum Deviation Surgery

Led by Başakşehir Çam & Sakura City Hospital · Updated on 2025-05-31

300

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are investigating the frequency and predictive factors of difficult intubation in patients undergoing septoplasty surgery for nasal obstruction caused by a deviated nasal septum. This observational study focuses on adult patients aged 18 to 65 years with low anesthetic risk (ASA I and II). The study addresses concerns that anatomical facial deformities may increase the risk of difficult airway management during general anesthesia in this population. Participants will undergo septoplasty under general anesthesia requiring tracheal intubation. Preoperative airway assessments include the LEMON protocol and the STOP-BANG questionnaire to evaluate obstructive sleep apnea risk. Intubation procedures follow standardized protocols using Macintosh laryngoscopes appropriate for gender, with difficult intubation classified by the Cormack-Lehane scale. If initial intubation attempts fail, videolaryngoscopy and laryngeal mask airway placement are considered. Various airway management techniques and monitoring will be recorded to identify predictors of difficult intubation. Throughout the study, patients will be monitored using standard procedures such as ECG, blood pressure, and oxygen saturation. Data collected include intubation attempts, methods used, and airway management maneuvers. Outcomes focus on the incidence of difficult airway and the identification of predictive factors to improve preoperative assessment and patient safety. The study will follow participants until completion of septoplasty and anesthesia recovery, with no additional interventions beyond routine care.

CONDITIONS

Brief Title

Determination of the Frequency and Predictors of Difficult Intubation in Septoplasty Operations

Who Can Participate

Age: 18Years - 65Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Consenting patients
  • ASA I or II classification
  • Between 18 and 65 years old
  • No history of difficult intubation, facial trauma, or congenital craniofacial deformity
  • Easy mask ventilation during the procedure
  • Nasal obstruction due to deviated nasal septum
  • Scheduled for septoplasty under general anesthesia
Not Eligible

You will not qualify if you...

  • No consent given
  • Outside the age range of 18 to 65 years
  • Not undergoing septoplasty or general anesthesia
  • ASA classification IV or V
  • History of difficult intubation with facial trauma or congenital craniofacial deformity
  • Difficult mask ventilation during the procedure

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Day of surgery

Participants undergo preoperative airway assessment including the LEMON protocol, STOP-BANG questionnaire, and the upper lip bite test to predict difficult intubation.

1 visit (in-person)

Surgery and Immediate Post-operative Care

Duration - Single day

Participants receive septoplasty under general anesthesia with tracheal intubation. Intubation difficulty is assessed and recorded, and airway management techniques are applied as needed.

1 visit (in-person)

Post-operative Follow-up

Duration - Up to hospital discharge

Participants are observed for any complications related to intubation and recovery after surgery.

Approximately 1 to 2 visits

Trial Site Locations

Total: 1 location

1

Başakşehir Çam and Sakura City Hospital

Başakşehir, Istanbul, Turkey (Türkiye), 34480

Actively Recruiting

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Research Team

E

EMINE OZCAN, Anesthesiologist

H

HILAL AKÇA, Anesthesiologist

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Frequently Asked Questions

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Published Research Related To This Trial

[Predictive value of preoperative tests in estimating difficult intubation in patients who underwent direct laryngoscopy in ear, nose, and throat surgery].

Osman Karakus, Cengiz Kaya, Faik Emre Ustun...

https://pubmed.ncbi.nlm.nih.gov/25435415

Assessment of perioperative difficult airway among undiagnosed obstructive sleep apnoea patients undergoing elective surgery: A prospective cohort study.

Krishnakumar Mathangi, Jacob Mathews, Chandrasekar D Mathangi

https://pubmed.ncbi.nlm.nih.gov/30078857