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| Name | Class |
|---|---|
| Institute of Medical Technology and Intelligent Systems at Hamburg University of Technology | UNKNOWN |
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The aim of this study is to prove feasibility and assess the diagnostic performance of a machine learning algorithm that relies on data from 3D-face scans with predefined motion-sequences and scenes (MASCAN algorithm), together with patient-specific meta-data for the prediction of difficult mask ventilation. A secondary aim of the study is to verify whether voice and breathing scans improve the performance of the algorithm. From the clinical point of view, we believe that an automated assessment would be beneficial, as it preserves time and health-care resources while acting observer-independent, thus providing a rational, reproducible risk estimation.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Study cohort | Patients undergoing ENT or OMS surgery with general anesthesia with facemask ventilation and tracheal intubation (observational) |
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| Measure | Description | Time Frame |
|---|---|---|
| Difficult facemask ventilation | Observed difficult facemask ventilation after induction of anesthesia | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| Difficult tracheal intubation | Observed difficult intubation after induction of anesthesia | 1 hour |
| Difficult laryngoscopy | Observed difficult laryngoscopy after induction of anesthesia |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive sampling: Adult patients that undergo ENT or OMS surgery in a tertiary care hospital who require facemask ventilation and tracheal intubation after induction of anesthesia.
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| Name | Affiliation | Role |
|---|---|---|
| Martin Petzoldt, MD | Universitätsklinikum Hamburg-Eppendorf | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Medical Center Hamburg-Eppendorf | Hamburg | 20246 | Germany |
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| 1 hour |
| Number of attempts | Observed during tracheal intubation | 1 hour |
| Failed direct laryngoscopy | Observed during airwaymanagement | 1 hour |
| Cormack Lehane grade | Grading of the best view obtained during laryngoscopy (I-IV) | 1 hour |
| Difficult mask ventilation alert | Noted by the responsible anaesthesiologist after airway management | 1 hour |
| Difficult intubation alert | Noted by the responsible anaesthesiologist after airway management | 1 hour |
| Intubation time | Recorded during airwaymanagement | 1 hour |
| Time to sufficient mask ventilation | Recorded during airwaymanagement | 1 hour |
| Classification of intubation difficulty | VIDIAC score rating between -1 and 5 points | 1 hour |
| Percentage of glottis opening (POGO) | Grading of the best view obtained during laryngoscopy (%) | 1 hour |
| Impossible facemask ventilation | Observed impossible facemask ventilation after induction of anesthesia | 1 hour |
| Successful first attempt intubation | Observed during airway management | 1 hour |
| Airway-related adverse events | Laryngospasm, bronchospasm, larynx trauma, airway trauma, soft tissue trauma, oral bleeding, edema, dental damage, corticosteroid application, accidental esophageal intubation, aspiration, hypotension or hypoxia | 1 hour |
| Post-intubation recommendation for an intubation method | Recommendation of the responsible anaesthesiologist after airwaymanagement | 1 hour |
| Minimal peripheral oxygen saturation (SpO2) | Observed after induction of anesthesia | 1 hour |