Identification of difficult to intubate patients from frontal face images using an ensemble of deep learning models.
Thomas E Tavolara, Metin N Gurcan, Scott Segal...
https://pubmed.ncbi.nlm.nih.gov/34391000Actively Recruiting
Led by Wake Forest University Health Sciences · Updated on 2026-04-01
3500
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating a computer algorithm designed to predict how easy or difficult it is to perform endotracheal intubation by analyzing digital photographs of a patient's face from three different angles. This study compares the algorithm's predictions with traditional airway assessment techniques to improve accuracy and patient safety during intubation procedures. The study includes patients who are easy or difficult to intubate, based on specific surgical criteria and anesthetic records. Participants are divided into groups for model development and validation, including those identified as easy or difficult to intubate and a group without prior intubation difficulty classification. Photographs of the head and neck are taken from the front, left, and right sides, which are then analyzed using facial structure software to create face models. The study also allows for intubation attempts using either a Macintosh or Miller laryngoscope blade, with the aim to assess facial features predictive of difficulty with different blades. During the study, participants undergo photographic imaging of their head and neck, and their intubation outcomes are recorded at surgery. Researchers will compare the algorithm's ability to predict intubation difficulty against conventional tests by analyzing the images and surgical outcomes over approximately two years. The study tracks whether the algorithm can statistically differentiate between easy and difficult intubation cases and tests the reproducibility of the developed models to improve clinical acceptance and patient safety.
CONDITIONS
Facial Analysis to Classify Difficult Intubation
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Complete this quick 3-step screening to check your eligibility
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to surgery day
Participants undergo photographing of the head and neck from multiple angles. These photographs are analyzed by facial structure software to create a face model for predicting intubation difficulty.
1 visit (in-person)
Duration - Approximately 2 years, based on current enrollment pattern
Participants are observed during their surgical intubation to determine ease or difficulty of intubation, which is used to validate the facial analysis algorithm.
Observations occur during routine surgical care
Total: 1 location
1
Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, United States, 27157
Actively Recruiting
S
Scott Segal, MD, MHCM
A
Angela Goodson
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
5
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Thomas E Tavolara, Metin N Gurcan, Scott Segal...
https://pubmed.ncbi.nlm.nih.gov/34391000Christopher W Connor, Scott Segal
https://pubmed.ncbi.nlm.nih.gov/21081769