Perioperative Respiratory Adverse Events, Postoperative Respiratory Complications
Conditions
Keywords
Postoperative Respiratory Complications, Pediatric airway, Pediatric airway evaluation, Subglottic airway measurements
Brief summary
This study aims to better understand postoperative respiratory adverse events that may occur in some children under three years of age undergoing airway management during surgery. As part of the study, ultrasonographic measurements of a portion of the upper airway will be performed during surgery using a non-invasive ultrasound device. These measurements will be evaluated in relation to perioperative respiratory outcomes. The results of this study may contribute to improved understanding of airway-related factors associated with postoperative respiratory safety in young children.
Interventions
OTHERUltrasonographic subglottic airway measurement
Non-invasive ultrasonographic measurement of the subglottic airway performed intraoperatively as part of routine clinical care. No therapeutic intervention is applied.
Sponsors
Bursa Sevket Yilmaz Training and Research Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 3 Years
Healthy volunteers
No
Inclusion criteria
* Children aged 0 to 35 months * Scheduled for elective surgery under general anesthesia * Planned airway management with a laryngeal mask airway * Ability to perform intraoperative ultrasonographic subglottic airway measurements * Written informed consent obtained from a parent or legal guardian
Exclusion criteria
* Known congenital or acquired airway anomalies * Craniofacial anomalies * Emergency surgical procedures * Planned tracheal intubation instead of laryngeal mask airway * Inability to obtain adequate ultrasonographic subglottic airway measurements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Perioperative respiratory adverse events (PRAE) | immediately after the surgery | The occurrence of clinically significant perioperative respiratory adverse events, defined as moderate to severe stridor and/or laryngospasm requiring clinical intervention, including positive pressur |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ultrasonographic subglottic airway dimensions and area | During surgery | Subglottic airway mediolateral and anteroposterior diameters and the calculated subglottic cross-sectional area measured using ultrasonography at predefined intraoperative time points (T0, T1, and T2). Changes in subglottic airway area between time points (T0-T1, T1-T2, and T0-T2) will also be evaluated. |
Countries
Turkey (Türkiye)
Contacts
CONTACTGürcan Güler
Outcome results
None listed