Evaluation of the Accuracy and Reliability of the Percentage of Glottic Opening Score

NCT04244292 | Completed

• 1 other identifier: POGO Score
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Current classifications of the laryngeal view during laryngoscopy are criticized for being subjective. The modified CL classification is criticized as it does not predict difficult intubation and especially grade 2 is operator dependent and partial view is not well defined. The numerical expression of the percentage of the glottic aperture (POGO = percentile of glottic opening) is another score. In this score, A POGO score of 100% accounts for full visualization of the larynx starting from anterior commissure to the posterior cartilage, while 0% indicated a complete absence of glottic opening. Previous validation studies reported on the reliability of POGO; however, accuracy was not evaluated. The use of a standard and effective classification method will facilitate and accelerate communication between anesthetists in difficult life-threatening situations such as difficult airway / difficult intubation / difficult ventilation and contribute to patient safety. The use of common terminology can also facilitate the evaluation of the performance of intubation tools. The aim of this study was to evaluate the accuracy and intra and inter rater reliability of the POGO score

Conditions

Intubation

Keywords

Intubation; Laryngeal view; Scoring systems; Larynx

Outcome Measures

Primary Outcomes (1)

• Percentile of glottic opening

  A percentile of glottic opening score of 100% accounts for full visualization of the larynx starting from anterior commissure to the posterior cartilage, while 0% indicated a complete absence of glottic opening.

  2 minutes after induction of anesthesia

Study Arms (1)

Videolaryngoscopy

OTHER

Patient will be intubated by using videolaryngoscope

Other: Videolaryngoscopy

Interventions

Videolaryngoscopy OTHER

Patient will be intubated by using videolaryngoscope

Videolaryngoscopy

Eligibility Criteria

• Age: 19 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients receiving general anesthesia

You may not qualify if:

• Emergency surgery-

Sponsors & Collaborators

• Diskapi Teaching and Research Hospital: lead

Study Sites (1)

Ankara Diskapi Yildirim Beyazit Teaching and Research Hospital

Ankara, 06110, Turkey (Türkiye)

Location

Related Publications (3)

• Norris A, Heidegger T. Limitations of videolaryngoscopy. Br J Anaesth. 2016 Aug;117(2):148-50. doi: 10.1093/bja/aew122. Epub 2016 Jun 1. No abstract available.

  PMID: 27251753 BACKGROUND

• Ochroch EA, Hollander JE, Kush S, Shofer FS, Levitan RM. Assessment of laryngeal view: percentage of glottic opening score vs Cormack and Lehane grading. Can J Anaesth. 1999 Oct;46(10):987-90. doi: 10.1007/BF03013137.

  PMID: 10522589 BACKGROUND

• Cook TM. A grading system for direct laryngoscopy. Anaesthesia. 1999 May;54(5):496-7. doi: 10.1046/j.1365-2044.1999.0907f.x. No abstract available.

  PMID: 10995154 BACKGROUND

MeSH Terms

Conditions

Laryngeal Diseases

Condition Hierarchy (Ancestors)

Respiratory Tract Diseases; Otorhinolaryngologic Diseases

Study Officials

• Dilek Unal

  UNIVERSITY OF HEALTH SCIENCES DISKAPI YILDIRIM BEYAZIT TEACHING HOSPITAL

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc Prof

Study Record Dates

• First Submitted: January 24, 2020
• First Posted: January 28, 2020
• Study Start: February 3, 2020
• Primary Completion: March 2, 2020
• Study Completion: March 2, 2020
• Last Updated: March 4, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)