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Glottic Visualisation During Laryngoscopy

The Effect of Head Position on Glottic Visualisation and Intubation Success With Videolaryngoscope in Obese Patients

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04003727
Enrollment
150
Registered
2019-07-01
Start date
2019-07-10
Completion date
2020-03-12
Last updated
2020-06-17

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

Conditions

Intubation

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

Tokat Gaziosmanpasa University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SCREENING
Masking
DOUBLE (Subject, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No

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

MeasureTime frameDescription
Glottic viewDuring laryngoscopythe percentage of glottic opening (POGO) and cormack-lehane scores will be used to rate of the glottic view
Intubation SuccessDuring intubationIntubation attempt number will be recorded

Secondary

MeasureTime frameDescription
Intubation difficultyDuring LaryngoscopyIntubation 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 timeDuring IntubationThe duration of the endotracheal tube placement will be recorded

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026