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The Diagnostic Efficacy of Ultrasonographic Airway Assessment in Predicting Difficult Laryngoscopy in Pediatric Patients Undergoing Elective Surgery; A Prospective Observational Study
Led by Tanta University · Updated on 2024-11-01
308
Participants Needed
1
Research Sites
N/A
Total Duration
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AI-Summary
What this Trial Is About
Difficult airways in children can pose serious challenges during anesthesia, often leading to complications. This research is focused on evaluating how well ultrasound measurements of the upper airway can predict difficult laryngoscopy in pediatric patients aged 2 to 5 years who are undergoing planned surgeries. The study aims to clarify if certain ultrasound markers, which have shown promise in adults, are useful in children. The study uses ultrasound to measure specific airway features including the hyomental distance in both neutral and extended positions and the distance from the skin to the epiglottis. These measurements are taken before anesthesia to assess their accuracy in predicting difficult intubation. This observational study will monitor these parameters without altering the standard care for children during elective surgeries. Participants will undergo preoperative ultrasound assessments focused on airway anatomy. Researchers will compare these ultrasound findings with the ease or difficulty of placing the breathing tube during surgery. The main measure is the accuracy of the hyomental distance ratio as a predictor, along with the distance from the skin to the epiglottis. The study will last through the surgical procedure, concluding with tube placement, and aims to improve understanding of airway assessment in pediatric patients.
CONDITIONS
Brief Title
Ultrasonographic Airway Assessment in Predicting Difficult Laryngoscopy in Pediatric Patients Undergoing Elective Surgery
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Children aged 2 to 5 years old
- Both sexes
- American Society of Anesthesiology (ASA) physical status I or II
- Undergoing elective surgery under general anaesthesia with endotracheal intubation
You will not qualify if you...
- Maxillofacial trauma
- Large mass
- Scar under the chin
- History of neck surgery or congenital anomalies of the head and neck as difficult intubation is expected in these cases
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 10 minutes before placement of endotracheal tube
Participants undergo ultrasonographic airway assessment using ultrasound to measure hyomental distances and distance from skin to epiglottis before surgery.
1 visit (in-person)
Duration - Duration of elective surgery
Participants are observed during elective surgery under general anesthesia with endotracheal intubation to evaluate airway difficulty.
1 visit (in-person)
Trial Site Locations
Total: 1 location
1
Tanta University
Tanta, El-Gharbia, Egypt, 31527
Actively Recruiting
Research Team
M
Mohammed M Abo Farrag, Master
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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