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PI was unable to perform ultrasound of airway.
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This is a novel approach to assess the use of ultrasound to support the identification of obstructive sleep apnea syndrome (OSAS) on a screening questionnaire, and potentially to predict a difficult pediatric airway. The investigators hope to determine if a combination of simple bedside clinical tests can be used to identify OSAS in patients who present for surgery with clinical signs of OSAS but without a formal polysomnography.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Difficult Airway | Other | Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral). |
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| Obstructive Sleep Apnea | Other | Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral). |
|
| Predictive Obstructive Sleep Apnea | Other | The following 6 questions will be asked during the preoperative visit:
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasound | Procedure | Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral). |
| Measure | Description | Time Frame |
|---|---|---|
| Hyo-mental distance | The distance from the hyoid bone to the mentum to predict difficult airway. | 5 minutes before surgery starts |
| Measure | Description | Time Frame |
|---|---|---|
| Tongue width | Width of the tongue between the lingual arteries. | 5 minutes after being intubated in surgery |
| Tonsil size | Size of tonsil (bilateral) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nationwide Children's Hospital | Columbus | Ohio | 43205 | United States |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D019220 | High-Energy Shock Waves |
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D000069453 | Ultrasonic Waves |
| D013016 | Sound |
| D011840 | Radiation, Nonionizing |
| D011827 | Radiation |
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| Questionnaire | Other | The following 6 questions will be asked during the preoperative visit:
|
|
| 5 minutes after being intubated in surgery |
| Questionnaire | 6 predictive OSA questions | 30 minutes before surgery |
| D020919 |
| Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D055585 |
| Physical Phenomena |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D008919 | Investigative Techniques |
| D017531 | Health Care Evaluation Mechanisms |
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |