Evaluation of Difficult Airway With Ultrasound

NCT07057661 | Not Yet Recruiting

• 1 other identifier: İSH-ANS-TK-02
• Study Type: observational
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

An unexpected difficult airway can lead to severe hypoxia and even death. Accurate airway assessment can reduce the incidence of difficult endotracheal intubation and related complications. Studies have shown that some ultrasonic indicators can predict difficult airways in adults to some extent. Studies have begun to investigate whether ultrasonic parameters can be used to predict difficult airways in children.Ultrasonic measurements of certain airway parameters have predictive value for difficult airways; therefore, airway ultrasonography is recommended as an aid in difficult airway prediction. We think that in pediatric patients with adenotonsillectomy, we will encounter more difficult airway because there may be anatomical differentiation due to adenoid and tonsillar hypertrophy. We aimed to evaluate the frequency of difficult airway with USG measurements in pediatric patients undergoing adenotonsillectomy. Group 1:Pediatric patients who underwent adenotonsillectomy Group 2: Pediatric patients who underwent any surgical operation We will evaluate two patient groups.

Conditions

Adenotonsillectomy Surgery

Keywords

airway management; pediatric patients; ultrasonography

Outcome Measures

Primary Outcomes (3)

• DSE: Distance from skin to epiglottis

  the vertical distances from the submental skin to the midpoint of the epiglottis

  Preoperative , before the administration of anesthesia

• HMDE: Hyomental distance in the extended position

  the distance from the lower border of the mentum of the mandible to the upper border of the hyoid bone

  Preoperative , before the administration of anesthesia

• Tongue base thickness

  Preoperative , before the administration of anesthesia

Secondary Outcomes (1)

• Cormark Lehane score

  During laryngoscopy

Study Arms (2)

Group 1: Pediatric patients who underwent adenotonsillectomy

Group 2: Pediatric patients who underwent any surgical operation

Eligibility Criteria

• Age: 3 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Pediatric patients who underwent adenotonsillectomy and any surgical operation

You may qualify if:

• ASA 1-2 patients
• Pediatric patients aged 3-8
• Those planned for elective surgery

You may not qualify if:

• Those with a history of congenital anomalies (head, face, body)
• ASA 3-4-5 patients
• Those who will undergo emergency surgery
• Those who will be subjected to an airway or anesthesia technique other than orotracheal intubation
• Newborn group patients
• Patients younger than 3 years old and older than 8 years old

Sponsors & Collaborators

• Izmir City Hospital: lead

Study Sites (1)

İzmir City Hospital

Izmir, Bayraklı, Turkey (Türkiye)

Location

Study Officials

• Tuba Kuvvet Yoldas, MD, Anesthesiology Specialist

  Izmir City Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Tuba Kuvvet Yoldas, MD

CONTACT

+905053428504; tubayoldas2297@gmail.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD, Anesthesia Specialist

Study Record Dates

• First Submitted: June 8, 2025
• First Posted: July 10, 2025
• Study Start: August 30, 2025
• Primary Completion: October 30, 2025
• Study Completion: November 30, 2025
• Last Updated: August 20, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)