Comparison of El-Ganzouri Risk Index and Airway Ultrasonographic Evaluation in Thyroid Surgery

NCT06369636 | Completed

• 1 other identifier: myucesu
• Study Type: observational
• Target: 120
• Locations: 1 country
• Sites: 1

Brief Summary

The primary purpose of this prospective observational study was to compare these tests used to predict difficult intubation in patients undergoing thyroid surgery. Secondarily; By comparing these tests, we aim to find the test that best predicts difficult intubation and to determine the incidence of difficult intubation in patients who will undergo thyroid surgery.

Conditions

Thyroid Surgery; Difficult Intubation

Keywords

Thyroid Surgery; El-Ganzouri Risk Index; Airway Ultrasonography; Difficult Intubation

Outcome Measures

Primary Outcomes (1)

• Compare EGRI and airway ultrasonographic parameters

  Compare EGRI and airway ultrasonography for predicting difficult intubation in patients who undergoing thyroid surgery

  Up to 6 months, until the end of the study

Secondary Outcomes (2)

• Find which is the best test predicts difficult intubation

  Up to 6 months, until the end of the study

• Finding the incidence of difficult intubation in thyroid surgery

  Up to 6 months, until the end of the study

Study Arms (2)

Difficult Intubation Expected

Patients whose EGRI scores are equal or greater than 4, or whose skin to epiglottis measurement are greater than 18 mm, skin to hyoid bone measurement are greater than 14 mm, skin to anterior commissure of vocal cords are greater than 13 mm, tongue thickness are greater than 60 mm and tongue volume greater than 100 cm3.

Procedure: Thyroid Surgery

Difficult Intubation Not Expected

Patients who do not meet the criteria just mentioned

Procedure: Thyroid Surgery

Interventions

Thyroid Surgery PROCEDURE

EGRI scores and airway ultrasonographic values will be recorded in patients who undergo thyroid surgery.

Difficult Intubation Expected; Difficult Intubation Not Expected

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A total of 120 patients, with ASA scores 1-3, aged between 18-65 years who undergo thyroid surgery will be included.

You may qualify if:

• Patients with ASA scores 1-3
• Patients between 18-65 age
• Patients who undergo thyroid surgery

You may not qualify if:

• Patients who do not accept to participate the research
• Patients under age 18 and over age 65
• Pregnant patients
• Patients who undergo surgery due to emergency medical conditions (such as hematoma, thyroid crisis or myxedema coma)
• Patients with airway malformations
• Patients with a high risk of aspiration

Sponsors & Collaborators

• Ankara City Hospital Bilkent: lead

Study Sites (1)

Ankara Bilkent City Hospital

Ankara, Çankaya, 06800, Turkey (Türkiye)

Location

Related Publications (5)

• Langenstein H, Cunitz G. [Difficult intubation in adults]. Anaesthesist. 1996 Apr;45(4):372-83. doi: 10.1007/s001010050274. German.

  PMID: 8702056 RESULT

• Bacuzzi A, Dionigi G, Del Bosco A, Cantone G, Sansone T, Di Losa E, Cuffari S. Anaesthesia for thyroid surgery: perioperative management. Int J Surg. 2008;6 Suppl 1:S82-5. doi: 10.1016/j.ijsu.2008.12.013. Epub 2008 Dec 13.

  PMID: 19195946 RESULT

• Adhikari S, Zeger W, Schmier C, Crum T, Craven A, Frrokaj I, Pang H, Shostrom V. Pilot study to determine the utility of point-of-care ultrasound in the assessment of difficult laryngoscopy. Acad Emerg Med. 2011 Jul;18(7):754-8. doi: 10.1111/j.1553-2712.2011.01099.x. Epub 2011 Jun 27.

  PMID: 21707828 RESULT

• Apfelbaum JL, Hagberg CA, Connis RT, Abdelmalak BB, Agarkar M, Dutton RP, Fiadjoe JE, Greif R, Klock PA, Mercier D, Myatra SN, O'Sullivan EP, Rosenblatt WH, Sorbello M, Tung A. 2022 American Society of Anesthesiologists Practice Guidelines for Management of the Difficult Airway. Anesthesiology. 2022 Jan 1;136(1):31-81. doi: 10.1097/ALN.0000000000004002.

  PMID: 34762729 RESULT

• Zheng Z, Ma W, Du R. Effectiveness and validity of midsagittal tongue cross-sectional area and width measured by ultrasound to predict difficult airways. Minerva Anestesiol. 2021 Apr;87(4):403-413. doi: 10.23736/S0375-9393.20.14769-2. Epub 2021 Feb 16.

  PMID: 33591134 RESULT

Study Officials

• Şeref Çelik

  Ankara Bilkent City Hospital, Algology Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2024
• First Posted: April 17, 2024
• Study Start: June 1, 2023
• Primary Completion: October 31, 2023
• Study Completion: January 28, 2024
• Last Updated: April 17, 2024

Record last verified: 2024-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)