Difficult Intubation, Thyroid Surgery
Conditions
Keywords
Thyroid Surgery, El-Ganzouri Risk Index, Airway Ultrasonography, Difficult Intubation
Brief summary
The primary purpose of this prospective observational study was to compare these tests used to predict difficult intubation in patients undergoing thyroid surgery. Secondarily; By comparing these tests, we aim to find the test that best predicts difficult intubation and to determine the incidence of difficult intubation in patients who will undergo thyroid surgery.
Detailed description
Patients' demographic information (age, gender, American Society of Anesthesiologists (ASA) classification, STOP-BANG score(snoring, feeling tired, observed apnea, hypertension, obesity, age, neck circumference and gender), body mass index) and thyroid ultrasonographic measurement will be recorded. At the preoperative visit, patients will be evaluated for El-Ganzouri Risk Index (EGRI) scores (mouth opening, thyromental distance, mallampati score, neck movement limitation, presence of prognathia, body weight and history of difficult intubation) and for airway ultrasonography (skin-epiglottis distance, skin-hyoid bone distance, skin-vocal cord distance, tongue thickness and tongue volume values). After this information is recorded, patients will be grouped as those expected difficult intubation and those who are not. After the patients are taken to the operating table and monitored, vascular access will be opened, standard anesthesia induction will be applied to the patients by the room specialist, and laryngoscopy and endotracheal intubation will be performed by the trained (\>2 years experienced) anesthesiologist. If Intubation Difficulty Scale (IDS) score will be greater than 5, patient will be considered difficult intubation.
Interventions
PROCEDUREThyroid Surgery
EGRI scores and airway ultrasonographic values will be recorded in patients who undergo thyroid surgery.
Sponsors
Ankara City Hospital Bilkent
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Patients with ASA scores 1-3 * Patients between 18-65 age * Patients who undergo thyroid surgery
Exclusion criteria
* Patients who do not accept to participate the research * Patients under age 18 and over age 65 * Pregnant patients * Patients who undergo surgery due to emergency medical conditions (such as hematoma, thyroid crisis or myxedema coma) * Patients with airway malformations * Patients with a high risk of aspiration
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Compare EGRI and airway ultrasonographic parameters | Up to 6 months, until the end of the study | Compare EGRI and airway ultrasonography for predicting difficult intubation in patients who undergoing thyroid surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Find which is the best test predicts difficult intubation | Up to 6 months, until the end of the study | by comparing these tests to decide which test is the best predictor for difficult intubation in thyroid surgery |
| Finding the incidence of difficult intubation in thyroid surgery | Up to 6 months, until the end of the study | Determine the incidence of difficult intubation in thyroid surgery |
Countries
Turkey (Türkiye)
Outcome results
None listed