Predicting Difficult Airway in Children

NCT03641157 | Completed

• 1 other identifier: GAYDIN
• Study Type: observational
• Target: 108
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Obtaining airway security holds the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for various pediatric age groups. Anthropometric measurements are defined parallel to percentile curves in different age groups. Aim: The aim of this study is to find out the value of body mass index and anthropometric measurements in prediction of difficult laryngoscopy in children by comparing to direct laryngoscopic evaluation of Cormack-Lehane test. Methods: Following institutional ethics committee approval and informed consent of parents of 108 patients (ages 0-3years), undergoing elective surgery were included in this study. Weight, height, body mass index and head circumference of the patients were measured and percentiles were recorded, prior to induction. Following standard anesthesia induction with thiopental all patients received 0,6 mg.kg-1 rocuronium intravenously. After sufficient time for neuromuscular relaxation laryngoscopy performed and Cormack-Lehane scores recorded. All recorded parameters were compared with Cormack-Lehane scores.

Conditions

Difficult Intubation; Pediatrics

Keywords

Difficult intubation; Pediatrics; predictive tests

Outcome Measures

Primary Outcomes (1)

• Difficult laryngoscopy classification using Cormack-LehaneGrade Assessment of difficult laryngoscopy at the time of the airway management procedure.

  Classified as Grade I-visualization of entire laryngeal aperture, grade II-visualization of only posterior commissure of laryngeal aperture, grade III-visualization of only epiglottis, grade IV-visualization of just the soft palate.

  immediate

Secondary Outcomes (5)

• Head circumference measured in cm with a measuring tape.

  immediate

• Weight measured in kilogram with electronic scale.

  immediate

• Height measured in cm with infantometer.

  immediate

• BMI was calculated as kg/m2.

  immediate

• Percentage values measured in % with percentile tables.

  immediate

Study Arms (2)

Group I Easy Intubation

Pediatric patients ages 0-3 years Easy Intubation (Cormach-Lehane score I-II)

Other: Easy Intubation

Group II Difficult intubation

Pediatric patients ages 0-3 years Difficult intubation (Cormach-Lehane score III-IV)

Other: Easy Intubation

Interventions

Easy Intubation OTHER

Also known as: Difficult intubation

Group I Easy Intubation; Group II Difficult intubation

Eligibility Criteria

• Age: 1 Month - 36 Months
• Gender Eligibility Details: pediatric patients
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Demographic data, head circumference, weight, height measurements, body mass index and percentile values were recorded by a pediatric surgeon who was unaware about the studyin the preoperative period.

You may qualify if:

• years old (1-36 mounts) pediatric patients
• Patients 0-3 age years old with ASA I, undergoing elective surgery were included in this study

You may not qualify if:

• Patients with known syndrome, facial anomaly, ASA score above 2 and laryngeal mask aiway were excluded from the study

Sponsors & Collaborators

• Tepecik Training and Research Hospital: lead

Study Sites (1)

Tepecik Education and Research Hospital

Izmir, Turkey (Türkiye)

Location

Related Publications (5)

• Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Schmidt J. Incidence and predictors of difficult laryngoscopy in 11,219 pediatric anesthesia procedures. Paediatr Anaesth. 2012 Aug;22(8):729-36. doi: 10.1111/j.1460-9592.2012.03813.x. Epub 2012 Feb 20.

  PMID: 22340664 RESULT

• Heinrich S, Birkholz T, Ihmsen H, Irouschek A, Ackermann A, Cesnjevar R, Schmidt J. Incidence and predictors of poor laryngoscopic view in children undergoing pediatric cardiac surgery. J Cardiothorac Vasc Anesth. 2013 Jun;27(3):516-21. doi: 10.1053/j.jvca.2012.08.019. Epub 2012 Oct 17.

  PMID: 23083795 RESULT

• 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.

  PMID: 25437694 RESULT

• Mansano AM, Modolo NS, Silva LM, Ganem EM, Braz LG, Knabe Ade C, Freitas FM. Bedside tests to predict laryngoscopic difficulty in pediatric patients. Int J Pediatr Otorhinolaryngol. 2016 Apr;83:63-8. doi: 10.1016/j.ijporl.2016.01.031. Epub 2016 Feb 3.

  PMID: 26968055 RESULT

• Mirghassemi A, Soltani AE, Abtahi M. Evaluation of laryngoscopic views and related influencing factors in a pediatric population. Paediatr Anaesth. 2011 Jun;21(6):663-7. doi: 10.1111/j.1460-9592.2011.03555.x. Epub 2011 Mar 14.

  PMID: 21401798 RESULT

Study Officials

• PERVIN BOZKURT, Prof

  Tepecik Education and Research Hospital

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Anesthesiology and Reanimation Clinic, principal investigator, Clinical Associated Professor

Study Record Dates

• First Submitted: March 31, 2018
• First Posted: August 21, 2018
• Study Start: July 11, 2014
• Primary Completion: July 11, 2016
• Study Completion: July 11, 2016
• Last Updated: August 21, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)