Difficult Airway Intubation
Conditions
Brief summary
In this study, anthropometric measurements (clinical measurements) will be applied in all patient groups; expected (to be difficult to provide airway patency as a result of detailed history, physical examination and evaluation tests performed by an experienced anesthesiologist), and unexpected (although it was not predicted that a difficulty was encountered). And ultrasounographic measurements will be applied in all patients. The aim of this study is to evaluate the predictive accuracy of ultrasonographic measurements.
Detailed description
In the preoperative period, the following clinical tests will be performed before the patient arrives in the operating room and when the patient arrives, the measurements will be made by ultrasonography. 1. Mallampati classification 2. Determination of mouth opening (interinsizer distance) 3. Thyromental distance 4. Sternomental distance Preoperative evaluation of the patients and clinical results of the airway tests (mentioned above) will be recorded. The cervical soft tissue thickness will be measured and recorded at 3 levels (thyrohyoid membrane, vocal cord, hyoid bone) with the help of ultrasonography (mentioned above). In addition, since all patients will be under general anesthesia, laryngoscopic images (laryngoscopic evaluation according to Cormack Lehane classification) routinely recorded on the anesthesia follow-up sheet will be recorded.
Interventions
in preoperative period, airway ultrasounagraphy for all patients will be made
Sponsors
Study design
Eligibility
Inclusion criteria
* patients under general anesthesia * ASA 1-2-3
Exclusion criteria
* Patients who will undergo emergency surgery, * pregnant women, * children, * patients who may have difficulty in airway management due to cervical instability, * patients with trauma or malignancy in the neck region
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cormack Lehane classification | during the intubation period | Laryngoscopic evaluation according to Cormack Lehane classification |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ultrasonographic measurement | 15 min before the operation | Preoperative ultrasonographic measurement will be made |
Countries
Turkey (Türkiye)