Difficult Intubation, Pediatrics
Conditions
Keywords
Difficult intubation, Pediatrics, predictive tests
Brief summary
Background: Obtaining airway security holds the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for various pediatric age groups. Anthropometric measurements are defined parallel to percentile curves in different age groups. Aim: The aim of this study is to find out the value of body mass index and anthropometric measurements in prediction of difficult laryngoscopy in children by comparing to direct laryngoscopic evaluation of Cormack-Lehane test. Methods: Following institutional ethics committee approval and informed consent of parents of 108 patients (ages 0-3years), undergoing elective surgery were included in this study. Weight, height, body mass index and head circumference of the patients were measured and percentiles were recorded, prior to induction. Following standard anesthesia induction with thiopental all patients received 0,6 mg.kg-1 rocuronium intravenously. After sufficient time for neuromuscular relaxation laryngoscopy performed and Cormack-Lehane scores recorded. All recorded parameters were compared with Cormack-Lehane scores.
Interventions
OTHEREasy Intubation
Sponsors
Tepecik Training and Research Hospital
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Months to 36 Months
Inclusion criteria
* 0-3 years old (1-36 mounts) pediatric patients * Patients 0-3 age years old with ASA I, undergoing elective surgery were included in this study
Exclusion criteria
* Patients with known syndrome, facial anomaly, ASA score above 2 and laryngeal mask aiway were excluded from the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difficult laryngoscopy classification using Cormack-LehaneGrade Assessment of difficult laryngoscopy at the time of the airway management procedure. | immediate | Classified as Grade I-visualization of entire laryngeal aperture, grade II-visualization of only posterior commissure of laryngeal aperture, grade III-visualization of only epiglottis, grade IV-visualization of just the soft palate. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Head circumference measured in cm with a measuring tape. | immediate | Head circumference were taken at the level above eyebrows and ears and measured in cm with a measuring tape. |
| Weight measured in kilogram with electronic scale. | immediate | Weight measured using electronic scale (0-20 kg) while undressed and without diapers . |
| Height measured in cm with infantometer. | immediate | Height measured using a portable infantometer (0-100 cm) while the child was in supine position. |
| BMI was calculated as kg/m2. | immediate | BMI measured using a weight/height2 formul |
| Percentage values measured in % with percentile tables. | immediate | Percentage (%) values using from the percentile tables of Turkish children were determined after the head circumference (cm), height (cm), weight (kg) and BMI (kg/m2) values of all pediatric cases were determined as described above. |
Countries
Turkey (Türkiye)
Outcome results
None listed