Difficult Laryngoscopy, Pediatric Anesthesia
Conditions
Keywords
Pediatric Anesthesia, Difficult Laryngoscopy, Difficult Airway
Brief summary
This prospective observational study aims to evaluate the predictive value of preoperative clinical airway assessment parameters for difficult airway management in pediatric patients undergoing elective surgery under general anesthesia. Preoperative clinical measurements and bedside airway tests will be recorded, and their association with intraoperative airway outcomes, including difficult laryngoscopy and difficult intubation, will be analyzed. Difficult laryngoscopy will be defined as Cormack-Lehane grade III-IV, while secondary outcomes will include difficult intubation, difficult mask ventilation, and airway-related complications. The study seeks to identify clinically applicable predictors and improve preoperative risk stratification for pediatric airway management. The findings may contribute to safer anesthetic practice in children by facilitating early identification of patients at increased airway risk.
Interventions
OTHERPreoperative Clinical Airway Assessment
Preoperative clinical airway assessment including bedside airway examination and anthropometric measurements performed as part of routine anesthetic evaluation, without any additional intervention beyond standard clinical practice.
Sponsors
Diskapi Yildirim Beyazit Education and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Days to 12 Years
Inclusion criteria
* Pediatric patients aged 0-12 years * Scheduled for elective surgery requiring endotracheal intubation under general anesthesia * ASA physical status I-III * Written informed consent obtained from parent(s) or legal guardian(s)
Exclusion criteria
* Patients older than 12 years * ASA physical status IV or higher * Emergency situations that do not allow systematic documentation of the airway management process * Presence of a congenital or acquired tracheostomy * Surgical procedures planned to be performed using a supraglottic airway without endotracheal intubation * Surgical procedures planned to be performed using face mask ventilation without endotracheal intubation * Inability to obtain parental or legal guardian consent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difficult Laryngoscopy | Perioperative/Periprocedural | Difficult laryngoscopy defined as Cormack-Lehane grade III or IV during laryngoscopy at tracheal intubation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| First-Attempt Intubation Success | Perioperative/Periprocedural | Successful tracheal intubation achieved on the first attempt without the need for additional airway devices or techniques. |
Countries
Turkey (Türkiye)
Contacts
CONTACTElif Şule Özdemir Sezgi
CONTACTAslı Dönmez
Outcome results
None listed