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The safe head position for emergency tracheal intubation during awake craniotomy

The safe head position for emergency tracheal intubation during awake craniotomy

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2400089574
Enrollment
Unknown
Registered
2024-09-11
Start date
2025-01-01
Completion date
Unknown
Last updated
2026-05-04

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

Conditions

None

Interventions

The turning-right head position:From the neutral position, we turn the head 50 degrees to the right for the first participant (normally, the angle of head rotation to the right can be 60 °~80 °). The
After successful intubation for K times (K=6 for ED90 calculation), the head position angle was raised to the higher level. Perform sequential testing in this way until the given number of sample case
The backward/forward rotation head postion:From a neutral position, we bend the head forward by 5 degrees for the first participant (normally, both the ranges of head forward flexion and backward exte
After k successful intubation attempts (K=6 for ED90 calculation), the head position will move forward by 5 degree. Perform sequential testing in this way until the given number of sample cases is com

Sponsors

Huashan Hospital, Fudan University
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 65 Years

Inclusion criteria

Inclusion criteria: 1. Selective neurosurgical craniotomy under general anesthesia with endotracheal intubation. 2. Age >= 18 years old, <= 65 years old, male or female not limited. 3. ASA classification 1-2. 4. BMI less than 30 kg/m^2. 5. Research participants sign informed consent forms.

Exclusion criteria

Exclusion criteria: 1. Possible difficult airway by a quick assessment of three indicators: Mallampati classification IIl- IV, interincisal distance < 2 finger widths, and thyromental distance < 6 cm. 2. Conditions potentially affecting intubation, including but not limited to loosening of teeth,micrognathia, prominent incisors, or large neck circumference. 3. Obstructive Sleep Apnea Syndrome (OSAS). 4. Growth hormone-secreting pituitary adenoma or acromegaly. 5. History of head/neck injury. 6. Abnormal cervical mobility or inability to rotate or flex the head to the pre-set angle. 7. Not willing to participate at any time before anesthesia induction.

Design outcomes

Primary

MeasureTime frame
successful intubation;

Secondary

MeasureTime frame
Cormack-Lehane Grading ;

Countries

China

Contacts

Public ContactXu Ming

Huashan Hospital, Fudan University

xum19@fudan.edu.cn+86 139 1868 6743

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: May 7, 2026