Difficult Airway, Obstructive Sleep Apnea
Conditions
Brief summary
This is a novel approach to assess the use of ultrasound to support the identification of obstructive sleep apnea syndrome (OSAS) on a screening questionnaire, and potentially to predict a difficult pediatric airway. The investigators hope to determine if a combination of simple bedside clinical tests can be used to identify OSAS in patients who present for surgery with clinical signs of OSAS but without a formal polysomnography.
Interventions
PROCEDUREUltrasound
Ultrasound to measure hyo-mental distance, neutral (Frankfort) position, maximal extended neck position to calculate ratio, width of the tongue between the lingual arteries, and tonsillar size (bilateral).
OTHERQuestionnaire
The following 6 questions will be asked during the preoperative visit: 1. While sleeping, does your child snore more than half the time? 2. While sleeping, does your child always snore? 3. Have you ever seen your child stop breathing during the night? 4. Does your child occasionally wet the bed? 5. Did your child stop growing at a normal rate at any time since birth? 6. Is your child overweight
Sponsors
Vidya Raman
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* All children presenting for surgery at NCH ranging in age from 3-12 years
Exclusion criteria
* Parent/ patient refusal to participate in study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hyo-mental distance | 5 minutes before surgery starts | The distance from the hyoid bone to the mentum to predict difficult airway. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Tongue width | 5 minutes after being intubated in surgery | Width of the tongue between the lingual arteries. |
| Tonsil size | 5 minutes after being intubated in surgery | Size of tonsil (bilateral) |
| Questionnaire | 30 minutes before surgery | 6 predictive OSA questions |
Countries
United States
Outcome results
None listed