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This study was designed to assess the accuracy of ultrasonographic parameters in combination to clinical parameters in the prediction of difficult airway in pediatric population.
All patients underwent a standard airway examination and sonographic airway assessment preoperatively and the predictive values for difficult airway of these methods were recorded.
Difficult airway in a pediatric patient is associated with more stresful situation than adults. Therefore, various clinical airways parameters have been investigated in the prediction of difficult airway. Sonographic evaluation to predict difficult airway is still primitive especially in pediatrics.
Ultrasonography and clinical parameters have been shown to be used in predicting difficult airway, but there is no study showing which is a better predictor.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasonographic upper airway measurements | Diagnostic Test | Ultrasonographic upper airway measurements: Epiglottis-skin distance, Hyoid bone-skin distance, Anterior commissure-skin distance and Thickness of tounge |
| Measure | Description | Time Frame |
|---|---|---|
| Cormack-Lehane Classification | he anesthesiologist, who is blind to the patient's preoperative airway evaluation and ultrasonographic airway measurements, performs intubation and evaluates the laryngeal view. | Three minutes after induction of anesthesia. |
| Epiglottis skin distance in centimeters. | The anesthesiologist, who is blind to the patient's preoperative airway evaluation and is experienced user of ultrasonography, measures hyoid bone to skin distance. | Five minutes before induction of anesthesia. |
| Hyoid bone-skin distance in centimeters. | The anesthesiologist, who is blind to the patient's preoperative airway evaluation and is experienced user of ultrasonography, measures hyoid bone to skin distance. | Five minutes before induction of anesthesia. |
| Anterior commissure-skin distance in centimeters. | The anesthesiologist, who is blind to the patient's preoperative airway evaluation and is experienced user of ultrasonography, measures anterior commissure to skin distance. | Five minutes before induction of anesthesia |
| Thickness of tongue root in centimeters | The anesthesiologist, who is blind to the patient's preoperative airway evaluation and is experienced user of ultrasonography, measures thickness of tongue root. | Five minutes before induction of anesthesia |
| Measure | Description | Time Frame |
|---|---|---|
| intubation difficulty score (IDS )(between 0 to 7) | The anesthesiologist, who performed the intubation, evaluated the intubation difficulty. | During the intubation period |
| Mallampati classification |
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Inclusion Criteria:
Exclusion Criteria:
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The patients, aged between 1-12 years, who required endotracheal intubation under general anesthesia for elective procedures were included in the study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Demet Altun | Contact | 00905326811767 | drdemetaltun@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Demet Altun | Istanbul University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul University, Istanbul Faculty of Medicine | Recruiting | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25437694 | Background | 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. |
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Evaluated by the anesthesiologist who performs intubation.
| The day before surgery |
| Neck circumference in centimeters. | Evaluated by the anesthesiologist who performs intubation. | The day before surgery |
| Sternomental distance in centimeters. | The distance between sternal notch and mentum. Evaluated by the anesthesiologist who performs intubation. | The day before surgery |
| Thyromental distance in centimeters | The distance between thyroid notch and mentum. Evaluated by the anesthesiologist who performs intubation. | The day before surgery |
| Body mass index (BMI) | Weight and height will be combined to report BMI in kg/m^2.Evaluated by the anesthesiologist who performs intubation. | The day before surgery |
| intubation techniques | techniques consisting of classic laryngoscope, videolaryngoscope, stylet, and supraglottic airway device used in intubation | During the intubation period |