The Correlation of the Cervical Symptoms With Intubation Quality and Airway Assessment

NCT05188807 | Completed

• 1 other identifier: GErgin
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

Cervical spine disorders can cause neck pain with or without neurological dysfunction. The most common cause of acute and chronic neck pain is cervical degenerative changes. Surgical decision of cervical pathology is made by anamnesis, neurological examination and imaging methods. Airway management can be difficult for patients presenting for cervical spine surgery. In addition, these patients may have severe cervical spine instability or spinal cord level myelopathy and may develop serious neurological complications associated with the intubation technique. Videolaringoscopes, which have become widely used with the developing technology, provide a better view than direct laryngoscopy in terms of cervical immobilization during intubation. Therefore, videolaryngoscope is preferred for cervical pathologies. Nowadays, the use of videolaryngoscope is recommended in patients with airway difficulty. Neutral position is important for intubation of patients with cervical pathology and it is highly recommended in the literature to evaluate these patients as difficult airways. All cervical patients are intubated with videolaryngoscope in investigator's clinic. The aim of this study was to evaluate how long the duration of cervical pathology affects airway anatomy and how it affects airway management during anesthesia. On the other hand, airway-related measurements will be performed by MRI and ultrasonography (USG), which is routinely evaluated in the diagnosis process, and it will be aimed to evaluate these measurements in terms of their effects on intubation quality. At the end of the study, all evaluations were analyzed and it was aimed to compare the effects of other evaluated parameters (such as USG and MRI measurements) on intubation difficulty level, with cervical pathology duration being primary.

Conditions

Cervical Pain; Cervical Disease

Keywords

videolaryngoscopy; quality of intubation; cervical pathology; difficult airway

Outcome Measures

Primary Outcomes (1)

• intubation time in seconds

  for assessing the degree of difficulty in intubation

  10 minutes

Secondary Outcomes (1)

• distance of measurements of airway

  10 minutes

Study Arms (1)

The patient with cervical pathology

EXPERIMENTAL

we will perform airway ultrasonography before the patients intubations and we will intubate the patients before cervical surgery

Diagnostic Test: Airway ultrasonography

Interventions

Airway ultrasonography DIAGNOSTIC_TEST

we will measure hyomental distance, skin-epiglottis distance, skin-hyoid distance, epiglottis-vocalcords distance

The patient with cervical pathology

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \- Elective cervical surgery

You may not qualify if:

• Patients undergoing emergency surgery
• Cervical tumor patients
• Patients with cognitive dysfunction
• Patients with previous cervical surgery
• Pediatric patients
• Cervical trauma patients
• The presence of cervical spondylitis, spondylodiscitis

Sponsors & Collaborators

• Ankara University: lead

Study Sites (1)

Ankara University School of Medicine

Ankara, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain; Uterine Cervical Diseases

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Uterine Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases

Study Officials

• Gulencan Yumusak Ergin

  Ankara University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: December 4, 2021
• First Posted: January 12, 2022
• Study Start: August 1, 2021
• Primary Completion: August 30, 2023
• Study Completion: November 1, 2023
• Last Updated: November 18, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)