Agreement Between Video and In-person Airway Assessment Performed by Anaesthetists in Patients Scheduled for Elective Same-day Gynaecological Procedures

NCT04783584 | Unknown

• 1 other identifier: Study No. 25 - 2020
• Study Type: observational
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

During a general anaesthetic, patients cannot breathe on their own and have to be artificially ventilated. This is achieved by connecting the patient's windpipe (trachea) to a ventilator via the use of a plastic tube called an endotracheal tube (ETT). To place this ETT into the patient's trachea, an instrument called a laryngoscope is used to lift the tongue and view the entrance to the trachea. This process is called laryngoscopy. The act of placing this ETT into the trachea is called intubation. In anticipation of this procedure, the airway is assessed by the anaesthetist before the patient is put to sleep. This airway examination helps predict if the patient's airway will prove to be difficult to intubate. This assessment is usually carried out face to face with the patient. Since the onset of the COVID 19 pandemic, we have been trying to minimise patient footfall performing anaesthetic assessments before surgery through a video platform. The objective of this study is to compare these video airway evaluations to assessments carried out face to face. We anticipate that the virtual airway assessments will be similar if not the same as the in-person airway assessments.

Conditions

Difficult Intubation; Difficult Airway Intubation

Keywords

Pre-operative airway assessment; Virtual airway assessment; Airway examination; Pre-operative airway examination; Airway Tests; Difficult airway prediction

Outcome Measures

Primary Outcomes (1)

• Agreement between virtual and in-person airway examinations

  To determine whether the airway assessment via a virtual platform is in agreement with an in-person airway examination in patients scheduled for elective day-surgery procedures.

  6 months

Secondary Outcomes (1)

• Agreement between virtual and in-person airway assessments in suspecting a difficult airway

  6 months

Eligibility Criteria

• Age: 18 Years - 65 Years
• Gender Eligibility Details: The study includes patients going for gynaecological procedures and as such only pertains to the female gender
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The population is from patients attending clinic for minor or intermediate gynaecological surgery in the Coombe Women \& Infants University Hospital.

You may qualify if:

• We will include patients attending clinic for minor or intermediate gynaecological surgery who were ASA physical status 1-2, BMI less than 40, greater than 18 and less than 65 years of age and no language barrier.

You may not qualify if:

• We excluded anyone over 65 years of age, with a BMI over 40, ASA physical status over 2, undergoing major gynaecological surgery, requiring translation services or difficulty accessing virtual technology.

Sponsors & Collaborators

• Michael Ma: lead

Study Sites (1)

The Coombe Women & Infants University Hospital

Dublin, D08 XW7X, Ireland

RECRUITING

Central Study Contacts

Michael Ma

CONTACT

+353857156584; mami@tcd.ie

Ruairi Irwin

CONTACT

+353877497263; r.irwin1987@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Locum Consultant

Study Record Dates

• First Submitted: March 2, 2021
• First Posted: March 5, 2021
• Study Start: December 1, 2020
• Primary Completion: July 31, 2021
• Study Completion: August 15, 2021
• Last Updated: March 5, 2021

Record last verified: 2021-03

Locations

IE (1)