Difficult Intubation, Difficult Mask Ventilation
Conditions
Keywords
Difficult airway, pediatric, Airway ultrasound
Brief summary
Recognition of difficult airway is purported to be the most important factor in successful management of difficult airway. The incidence of difficult airway in pediatrics is much less than in adults; however, airway related complications can lead to hypoxic brain damage or even death especially in younger age groups as neonates and infants.The aim of this work is to evaluate the feasibility and accuracy of ultrasound measurements (hyomental distances, tongue measurements, and anterior neck soft tissue thickness at the level of hyoid bone, thyrohyoid membrane, and thyroid cartilage) in predicting difficult laryngoscopy and difficult mask ventilation in pediatric patients undergoing elective surgery under general anesthesia.
Interventions
DEVICEUltrasound
The following ultrasound measurements will be assessed: DS-HB, HMDR, TT, TT-S, TW, EW, ET, DS-E, and DS-V.
Sponsors
Cairo University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Months to 10 Years
Healthy volunteers
No
Inclusion criteria
* Gender both males and females * ASA Class I and II * Age 1month to 10 years * Children undergoing elective surgery under general anaesthesia
Exclusion criteria
* congenital upper airway malformation, * head and neck swellings, * scars, * radiation to the neck, * tracheotomy, * Neurosurgical or cardiac procedures * ENT surgeries
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The sensitivity of DS-HB to predict difficult laryngoscopy | 30 minutes | The ability of DS-HB ultrasound measurement to predict difficult airway in pediatrics |
Countries
Egypt
Outcome results
None listed