Predicting Difficult Airway in Children

NCT ID: NCT03641157

Last Updated: 2018-08-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

108 participants

Study Classification

OBSERVATIONAL

Study Start Date

2014-07-11

Study Completion Date

2016-07-11

Brief Summary

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Background: Obtaining airway security holds the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for various pediatric age groups. Anthropometric measurements are defined parallel to percentile curves in different age groups.

Aim: The aim of this study is to find out the value of body mass index and anthropometric measurements in prediction of difficult laryngoscopy in children by comparing to direct laryngoscopic evaluation of Cormack-Lehane test.

Methods: Following institutional ethics committee approval and informed consent of parents of 108 patients (ages 0-3years), undergoing elective surgery were included in this study. Weight, height, body mass index and head circumference of the patients were measured and percentiles were recorded, prior to induction.

Following standard anesthesia induction with thiopental all patients received 0,6 mg.kg-1 rocuronium intravenously. After sufficient time for neuromuscular relaxation laryngoscopy performed and Cormack-Lehane scores recorded. All recorded parameters were compared with Cormack-Lehane scores.

Detailed Description

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Conditions

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Difficult Intubation Pediatrics

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Group I Easy Intubation

Pediatric patients ages 0-3 years Easy Intubation (Cormach-Lehane score I-II)

Easy Intubation

Intervention Type OTHER

Group II Difficult intubation

Pediatric patients ages 0-3 years Difficult intubation (Cormach-Lehane score III-IV)

Easy Intubation

Intervention Type OTHER

Interventions

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Easy Intubation

Intervention Type OTHER

Other Intervention Names

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Difficult intubation

Eligibility Criteria

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Inclusion Criteria

* 0-3 years old (1-36 mounts) pediatric patients
* Patients 0-3 age years old with ASA I, undergoing elective surgery were included in this study

Exclusion Criteria

* Patients with known syndrome, facial anomaly, ASA score above 2 and laryngeal mask aiway were excluded from the study
Minimum Eligible Age

1 Month

Maximum Eligible Age

36 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tepecik Training and Research Hospital

OTHER

Sponsor Role lead

Responsible Party

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GAYE AYDIN

Anesthesiology and Reanimation Clinic, principal investigator, Clinical Associated Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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PERVIN BOZKURT, Prof

Role: STUDY_DIRECTOR

Tepecik Education and Research Hospital

Locations

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Tepecik Education and Research Hospital

Izmir, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Schmidt J. Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures. Paediatr Anaesth. 2012 Aug;22(8):729-36. doi: 10.1111/j.1460-9592.2012.03813.x. Epub 2012 Feb 20.

Reference Type RESULT
PMID: 22340664 (View on PubMed)

Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Cesnjevar R, Schmidt J. Incidence and predictors of poor laryngoscopic view in children undergoing pediatric cardiac surgery. J Cardiothorac Vasc Anesth. 2013 Jun;27(3):516-21. doi: 10.1053/j.jvca.2012.08.019. Epub 2012 Oct 17.

Reference Type RESULT
PMID: 23083795 (View on PubMed)

Inal MT, Memis D, Sahin SH, Gunday I. [Comparison of different tests to determine difficult intubation in pediatric patients]. Rev Bras Anestesiol. 2014 Nov-Dec;64(6):391-4. doi: 10.1016/j.bjan.2014.02.001. Epub 2014 Aug 28. Portuguese.

Reference Type RESULT
PMID: 25437694 (View on PubMed)

Mansano AM, Modolo NS, Silva LM, Ganem EM, Braz LG, Knabe Ade C, Freitas FM. Bedside tests to predict laryngoscopic difficulty in pediatric patients. Int J Pediatr Otorhinolaryngol. 2016 Apr;83:63-8. doi: 10.1016/j.ijporl.2016.01.031. Epub 2016 Feb 3.

Reference Type RESULT
PMID: 26968055 (View on PubMed)

Mirghassemi A, Soltani AE, Abtahi M. Evaluation of laryngoscopic views and related influencing factors in a pediatric population. Paediatr Anaesth. 2011 Jun;21(6):663-7. doi: 10.1111/j.1460-9592.2011.03555.x. Epub 2011 Mar 14.

Reference Type RESULT
PMID: 21401798 (View on PubMed)

Other Identifiers

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GAYDIN

Identifier Type: -

Identifier Source: org_study_id

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