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Ultrasound vs Mallampati Grading for Predicting Difficult Airway: A Prospective Observational Study

A Prospective Observational Study On The Comparison Of Ultrasound Parameters Versus Mallampathi Grading In Assessment Of Difficult Airway Laryngoscopy And Intubation - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2025/11/097195
Enrollment
72
Registered
2025-11-11
Start date
Unknown
Completion date
Unknown
Last updated
2025-11-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: R938- Abnormal findings on diagnostic imaging of other specified body structures

Interventions

Intervention1: Nil: Nil

Sponsors

Saniya Jabbar
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Age: Adult patients (18 years or older) scheduled for elective surgery under general anesthesia. 2. Airway Health: No history of significant airway anomalies such as obstructive sleep apnea, neck trauma, or tumors. 3. Normal Physical Examination: No obvious swelling, masses in the neck, or tracheal deviation. 4. Informed Consent: Willing to participate in the study and provide informed consent for ultrasound and clinical airway assessment. 5. ASA Classification: ASA I to III (healthy to moderately ill patients).

Exclusion criteria

Exclusion criteria: 1. Patients with anticipated difficult airways based on known risk factors (e.g., limited mouth opening, macroglossia). 2. Patients with significant congenital or acquired airway abnormalities (e.g., cleft lip/palate, tumors, tracheal stenosis). 3. Pregnant patients, due to anatomical changes that may alter airway management and ultrasound imaging. 4. Patients with altered mental status or who are unable to provide informed consent. 5. Patients with severe cardiovascular or respiratory diseases (e.g., ASA IV or V classification) that may complicate airway management. 6. Patients requiring emergency surgery where preoperative airway assessment is not feasible. 7. Patients with contraindications to ultrasound, such as skin infections or other local issues that may interfere with proper scanning. 8. Patients with cervical spine deformity.

Design outcomes

Primary

MeasureTime frame
To compare the predictive accuracy of ultrasound-based airway assessment i.e skin to epiglottis distance with the conventional Mallampati grading for predicting difficult endotracheal intubation in patients undergoing general anaesthesia after 24 monthsTimepoint: To compare the predictive accuracy of ultrasound-based airway assessment i.e skin to epiglottis distance with the conventional Mallampati grading for predicting difficult endotracheal intubation in patients undergoing general anaesthesia.The outcome will be assesed after 24 months.

Secondary

MeasureTime frame
To evaluate the role of ultrasound in assessing specific airway parameters - tongue thickness, skin to epiglottis distance, thyromental distance, & hyomental distance (in both neutral & extended neck positions) - & to determine their predictive value in identifying difficult laryngoscopy & intubation. Timepoint: The outcome will be assessed after 24 months.

Countries

India

Contacts

Public ContactDr Sowmya M Jois

Rajareshwari medical college and hospital

drsowmyasharma@gmail.com9980891082

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026