Expected Difficult Airway Management

NCT06279416 | Completed

• 1 other identifier: 2023-31
• Study Type: observational
• Target: 49
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, the investigators will evaluate the advanced airway methods applied in the anesthesiology and reanimation clinic of the hospital to patients who met the criteria for awake intubation specified in the ASA 2022 difficult airway management guideline or who could not be intubated after induction of anesthesia in another center. The advanced airway method applied to the difficult airway patient expected in the operating room, the duration, success and complications of the method will be observed and recorded.

Conditions

Awake Intubation; Advanced Airway Techniques

Keywords

videolaryngoscopy; fiberoptic bronchoscope; supraglottic airway device

Outcome Measures

Primary Outcomes (1)

• Comparison of advanced airway methods in the awake patient with difficult airway.

  Comparison of the superiority of advanced airway methods applied to the expected difficult airway patient in the operating room. The number of attempts and duration for successful intubation between groups will be examined.

  1 year

Study Arms (3)

grup-1: awake nasal fiberoptic intubation

awake nasal fiberoptic intubation

Procedure: fiberoptic intubation

grup-2: awake intubation with laryngeal mask airway-mediated aintree catheter

awake intubation with laryngeal mask airway-mediated aintree catheter

Procedure: laryngeal mask airway-mediated aintree catheter

grup-3: awake intubation with videolaryngoscopy

awake intubation with videolaryngoscopy

Procedure: videolaryngoscopy

Interventions

fiberoptic intubation PROCEDURE

awake nasal fiberoptic intubation

grup-1: awake nasal fiberoptic intubation

laryngeal mask airway-mediated aintree catheter PROCEDURE

awake intubation with laryngeal mask airway-mediated aintree catheter

grup-2: awake intubation with laryngeal mask airway-mediated aintree catheter

videolaryngoscopy PROCEDURE

awake intubation with videolaryngoscopy

grup-3: awake intubation with videolaryngoscopy

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients who were previously evaluated for difficult airway criteria and predicted to have a difficult airway or who could not be ventilated or intubated after induction of anesthesia in another center.

You may qualify if:

• Over 18 years old
• Meets the expected difficult airway criteria
• Being awakened after induction of anesthesia in another center
• At least one of the awake intubation criteria in the DAS 2022 guideline
• Elective surgeries

You may not qualify if:

• Emergency surgeries
• Patients intubated with anesthesia
• Noncoopere patients

Sponsors & Collaborators

• Kocaeli City Hospital: lead

Study Sites (1)

Kocaeli City Hospital

Kocaeli, Turkey (Türkiye)

Location

Study Officials

• Mehmet Yilmaz

  Kocaeli City Hospital Anesthesiology and Reanimation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 19, 2024
• First Posted: February 28, 2024
• Study Start: December 30, 2023
• Primary Completion: December 30, 2024
• Study Completion: December 30, 2024
• Last Updated: January 15, 2025

Record last verified: 2025-01

Locations

TU (1)