Intubation
Conditions
Brief summary
In this study, we aimed to investigate the effects of head and neck positions on the visualization of glottis and the success of intubation during videolaryngoscopy in obese patients.
Detailed description
Tree different head and neck positions will compare for glottic visualization and intubation success rates in obese patients (BMI\> 30 kg / m2) who required endotracheal intubation for general anesthesia between 18-65 years of age.
Interventions
Patient's laryngoscopy will be done using McGrath Mac video laryngoscope
Sponsors
Study design
Eligibility
Inclusion criteria
* Being 18-65 aged * Being obese * Undergoing surgery under general anesthesia
Exclusion criteria
* Having difficult airway * Being American Society of Anesthesiologist (ASA) 4 physical status * Undergoing emergency surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glottic view | During laryngoscopy | the percentage of glottic opening (POGO) and cormack-lehane scores will be used to rate of the glottic view |
| Intubation Success | During intubation | Intubation attempt number will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intubation difficulty | During Laryngoscopy | Intubation Difficulty Scale(IDS) score will be recorded.The IDS score is derived from seven variables. N1 represents the number of additional intubation attempts, N2 represents the number of additional operators, N3 is the number of alternative intubation techniques used; N4 represents the laryngoscopic view, N5 represents the lifting force applied during laryngoscopy, N6 represents the necessity to apply external laryngeal pressure to optimize glottic exposure, N7 represents the mobility of vocal cord. The IDS score is the sum of all variables and ranges from zero to infinity. A score of 0 indicates an easy tracheal intubation. Intubation is considered difficult if the score is greater than 5. |
| Intubation time | During Intubation | The duration of the endotracheal tube placement will be recorded |
Countries
Turkey (Türkiye)