The Incidence of Difficult Intubation in Obese Versus Non-obese Patients

NCT ID: NCT03752593

Last Updated: 2019-10-22

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

200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2016-11-08

Study Completion Date

2018-11-08

Brief Summary

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The aim of our study is to identify the incidence of difficult endotracheal intubation in patients with normal BMI undergoing surgery under general anaesthesia in our hospital and compare it to that of obese patients.

Detailed Description

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Conditions

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Airway Obstruction

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Obese

Patients with a BMI of greater than 30 who are presenting to the hospital for any surgical procedure requiring general anesthesia

ET Tube

Intervention Type OTHER

Patients with a BMI of greater than 30 or less than who are presenting to the hospital for any surgical procedure requiring general anesthesia

Non-Obese

Patients with a BMI of less than 30 who are presenting to the hospital for any surgical procedure requiring general anesthesia

ET Tube

Intervention Type OTHER

Patients with a BMI of greater than 30 or less than who are presenting to the hospital for any surgical procedure requiring general anesthesia

Interventions

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ET Tube

Patients with a BMI of greater than 30 or less than who are presenting to the hospital for any surgical procedure requiring general anesthesia

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Elective surgery
* BMI\< 30 for Normal BMI group
* BMI \> 30 for Obese group

Exclusion Criteria

* Known previous difficult airway
* Pediatric patients.
* Emergency patients
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King Hamad University Hospital, Bahrain

OTHER

Sponsor Role lead

Responsible Party

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Dr. Jaffar Albareeq

Director of Research

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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King Hamad University Hospital

Al Muharraq, , Bahrain

Site Status

Countries

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Bahrain

References

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Murphy C, Wong DT. Airway management and oxygenation in obese patients. Can J Anaesth. 2013 Sep;60(9):929-45. doi: 10.1007/s12630-013-9991-x. Epub 2013 Jul 9.

Reference Type BACKGROUND
PMID: 23836064 (View on PubMed)

Lundstrom LH. Detection of risk factors for difficult tracheal intubation. Dan Med J. 2012 Apr;59(4):B4431.

Reference Type BACKGROUND
PMID: 22459727 (View on PubMed)

Shiga T, Wajima Z, Inoue T, Sakamoto A. Predicting difficult intubation in apparently normal patients: a meta-analysis of bedside screening test performance. Anesthesiology. 2005 Aug;103(2):429-37. doi: 10.1097/00000542-200508000-00027.

Reference Type BACKGROUND
PMID: 16052126 (View on PubMed)

Lavi R, Segal D, Ziser A. Predicting difficult airways using the intubation difficulty scale: a study comparing obese and non-obese patients. J Clin Anesth. 2009 Jun;21(4):264-7. doi: 10.1016/j.jclinane.2008.08.021. Epub 2009 Jun 6.

Reference Type BACKGROUND
PMID: 19502026 (View on PubMed)

Kim WH, Ahn HJ, Lee CJ, Shin BS, Ko JS, Choi SJ, Ryu SA. Neck circumference to thyromental distance ratio: a new predictor of difficult intubation in obese patients. Br J Anaesth. 2011 May;106(5):743-8. doi: 10.1093/bja/aer024. Epub 2011 Feb 24.

Reference Type BACKGROUND
PMID: 21354999 (View on PubMed)

De Jong A, Molinari N, Pouzeratte Y, Verzilli D, Chanques G, Jung B, Futier E, Perrigault PF, Colson P, Capdevila X, Jaber S. Difficult intubation in obese patients: incidence, risk factors, and complications in the operating theatre and in intensive care units. Br J Anaesth. 2015 Feb;114(2):297-306. doi: 10.1093/bja/aeu373. Epub 2014 Nov 27.

Reference Type BACKGROUND
PMID: 25431308 (View on PubMed)

Juvin P, Lavaut E, Dupont H, Lefevre P, Demetriou M, Dumoulin JL, Desmonts JM. Difficult tracheal intubation is more common in obese than in lean patients. Anesth Analg. 2003 Aug;97(2):595-600. doi: 10.1213/01.ANE.0000072547.75928.B0.

Reference Type BACKGROUND
PMID: 12873960 (View on PubMed)

Hashim MM, Ismail MA, Esmat AM, Adeel S. Difficult tracheal intubation in bariatric surgery patients, a myth or reality? Br J Anaesth. 2016 Apr;116(4):557-8. doi: 10.1093/bja/aew039. No abstract available.

Reference Type BACKGROUND
PMID: 26994235 (View on PubMed)

Karkouti K, Rose DK, Wigglesworth D, Cohen MM. Predicting difficult intubation: a multivariable analysis. Can J Anaesth. 2000 Aug;47(8):730-9. doi: 10.1007/BF03019474.

Reference Type BACKGROUND
PMID: 10958088 (View on PubMed)

Brodsky JB, Lemmens HJ, Brock-Utne JG, Vierra M, Saidman LJ. Morbid obesity and tracheal intubation. Anesth Analg. 2002 Mar;94(3):732-6; table of contents. doi: 10.1097/00000539-200203000-00047.

Reference Type BACKGROUND
PMID: 11867407 (View on PubMed)

Bond A. Obesity and difficult intubation. Anaesth Intensive Care. 1993 Dec;21(6):828-30. doi: 10.1177/0310057X9302100614. No abstract available.

Reference Type BACKGROUND
PMID: 8122742 (View on PubMed)

Benumof JL. Management of the difficult adult airway. With special emphasis on awake tracheal intubation. Anesthesiology. 1991 Dec;75(6):1087-110. doi: 10.1097/00000542-199112000-00021.

Reference Type BACKGROUND
PMID: 1824555 (View on PubMed)

Cormack RS, Lehane J. Difficult tracheal intubation in obstetrics. Anaesthesia. 1984 Nov;39(11):1105-11.

Reference Type BACKGROUND
PMID: 6507827 (View on PubMed)

Other Identifiers

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KHUH/Anesthesia

Identifier Type: -

Identifier Source: org_study_id

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