Preoperative Prediction of Difficult Laryngoscopy in Diabetic Patients: Importance of the Palm Print Test

NCT06676865 | Completed

• 1 other identifier: Palm print test
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators assessed upper airway management at the pre-anaesthetic consultation using the usual clinical criteria. On the day before surgery, diabetic patients were assessed for the palm print sign to predict difficult laryngoscopy. After induction of anesthesia, laryngoscopy was performed with a Macintosh metal laryngoscope blade. At this stage of the study, patients were categorized into two groups: difficult and easy laryngoscopy.

Conditions

Difficult Laryngoscopy; Diabetes; Preoperative Period

Outcome Measures

Primary Outcomes (1)

• Difficult laryngoscopy

  Cormack and Lehane graded I to IV. Grades III or IV showed difficult laryngoscopy.

  after induction of anesthesia and during laryngoscopy

Secondary Outcomes (1)

• Difficult intubation

  at induction of anesthesia

Study Arms (1)

adult Diabetic patients scheduled for surgery under general anesthesia.

Were included patients with known cases of diabetes mellitus, aged more than 18 years, undergoing surgery under general anesthesia with endotracheal intubation. This study excluded patients with physical or intellectual disabilities preventing cooperation, Malformations, trauma, tumors, or infections of the maxillofacial region and upper airways, a history of burns or cervicofacial irradiation, and neurosurgical conditions causing temporomandibular pseudoankylosis. Additional exclusions included patients with conditions causing hand joint stiffness (e.g., carpal tunnel syndrome, Dupuytren's disease, scleroderma, rheumatoid arthritis), restricted cervical mobility (due to osteoarthritis, ankylosing spondylitis, or cervical trauma), a history of difficult intubation as well as pregnancy (including up to six weeks postpartum)

Diagnostic Test: the palm print test

Interventions

the palm print test DIAGNOSTIC_TEST

The patient's dominant hand was pressed firmly against a blue ink pad, then onto a white sheet of paper without applying body weight. The palm prints were scored as follows: * Grade 0: All phalangeal areas visible * Grade 1: Deficiency in the interphalangeal areas of the 4th and 5th digits * Grade 2: Deficiency in the interphalangeal areas of the 2nd to 5th digits * Grade 3: Only the tips of the digits visible The palm print test was scored from 0 to 3. Grades 2 and 3 were considered indicators of difficult intubation.

adult Diabetic patients scheduled for surgery under general anesthesia.

Eligibility Criteria

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

Study Population

Were included adult patients with diabetes mellitus undergoing surgery under general anesthésia with intubation.

You may qualify if:

• diabetes mellitus
• aged more than 18 years
• undergoing surgery under general anesthesia with endotracheal intubation.

You may not qualify if:

• physical or intellectual disabilities preventing cooperation
• Malformations, trauma, tumors, or infections of the maxillofacial region and upper airways,
• a history of burns or cervicofacial irradiation
• neurosurgical conditions causing temporomandibular pseudoankylosis.
• hand joint stiffness (e.g., carpal tunnel syndrome, Dupuytren's disease, scleroderma, rheumatoid arthritis)
• restricted cervical mobility (due to osteoarthritis, ankylosing spondylitis, or cervical trauma),
• a history of difficult intubation
• pregnancy (including up to six weeks postpartum)

Sponsors & Collaborators

• Mongi Slim Hospital: lead

Study Sites (1)

Mongi Slim University Hospital

Tunis, 2046, Tunisia

Location

MeSH Terms

Conditions

Diabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Professor

Study Record Dates

• First Submitted: October 22, 2024
• First Posted: November 6, 2024
• Study Start: December 1, 2023
• Primary Completion: May 31, 2024
• Study Completion: July 31, 2024
• Last Updated: November 6, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)