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This study aims to better understand postoperative respiratory adverse events that may occur in some children under three years of age undergoing airway management during surgery. As part of the study, ultrasonographic measurements of a portion of the upper airway will be performed during surgery using a non-invasive ultrasound device. These measurements will be evaluated in relation to perioperative respiratory outcomes. The results of this study may contribute to improved understanding of airway-related factors associated with postoperative respiratory safety in young children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pediatric patients under three years of age | This cohort includes children under three years of age undergoing elective surgery. As part of routine perioperative care, ultrasonographic measurements of the subglottic airway are performed during surgery. Participants are followed postoperatively for the occurrence of respiratory-related adverse events. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasonographic subglottic airway measurement | Other | Non-invasive ultrasonographic measurement of the subglottic airway performed intraoperatively as part of routine clinical care. No therapeutic intervention is applied. |
| Measure | Description | Time Frame |
|---|---|---|
| Perioperative respiratory adverse events (PRAE) | The occurrence of clinically significant perioperative respiratory adverse events, defined as moderate to severe stridor and/or laryngospasm requiring clinical intervention, including positive pressur | immediately after the surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Ultrasonographic subglottic airway dimensions and area | Subglottic airway mediolateral and anteroposterior diameters and the calculated subglottic cross-sectional area measured using ultrasonography at predefined intraoperative time points (T0, T1, and T2). Changes in subglottic airway area between time points (T0-T1, T1-T2, and T0-T2) will also be evaluated. | During surgery |
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Inclusion Criteria:
Exclusion Criteria:
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The study population consists of children under three years of age scheduled for elective surgery under general anesthesia. All participants undergo planned airway management with a laryngeal mask airway and intraoperative ultrasonographic assessment of the subglottic airway as part of routine clinical care. Written informed consent is obtained from a parent or legal guardian prior to participation.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Gürcan Güler | Contact | +90 541 975 0407 | gurcanguler.45@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Principal Investigator | Bursa | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40994506 | Result | Sayan O, Erbas M, Sayan M. Association of postoperative airway complications with ultrasonographic measurements in pediatric patients: An exploratory analysis. Saudi J Anaesth. 2025 Oct-Dec;19(4):535-545. doi: 10.4103/sja.sja_215_25. Epub 2025 Sep 3. | |
| 28058141 | Result | Altun D, Sungur MO, Ali A, Bingul ES, Seyhan TO, Camci E. Ultrasonographic Measurement of Subglottic Diameter for Paediatric Cuffed Endotracheal Tube Size Selection: Feasibility Report. Turk J Anaesthesiol Reanim. 2016 Dec;44(6):301-305. doi: 10.5152/TJAR.2016.60420. Epub 2016 Dec 1. |
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