Anaesthesia
Conditions
Interventions
Ultrasonography of the anterior cervical region
Sponsors
Karim Bouzid
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - patients older than 18 years of age, of either sex, - with an American Society of Anesthesiologists (ASA) score of I, II or III, - candidates for elective procedures under general anesthesia with endotracheal intubation and direct laryngoscopy after receiving a myorelaxant
Exclusion criteria
Exclusion criteria: - impossibility to obtain an acoustic window - modification of the anesthesia or airway management protocol - suspicion of subglottic stenosis after intubation - Intubation operator considered inexperienced: experience <1.5 years - incapacity to evaluate clinical criteria: craniofacial and cervical trauma - incapacity of the patient to give his consent: dementia, agitation, altered state of consciousness, - conditions requiring the use of videolaryngoscopy or fibroscopy : inter-incisor gap<2,5 cm et /ou fixed cervical spine, - contraindication to propofol and/or succinylcholine, - Pregnancy and 6 first weeks postpartum, - abnormalities and malformations of the upper airways, - a thyroid goiter - a tracheostomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difficult laryngoscopy defined by the absence of vision of the glottis, either a Cormack and Lehane class III or IV without external laryngeal maneuver | — |
Secondary
| Measure | Time frame |
|---|---|
| Difficult intubation defined according to the expert conference of the French society of anesthesia reanimation (SFAR) of 2006 as an intubation requiring more than two laryngoscopies and / or the implementation of an alternative technique after optimization of the position of the head (Jackson's amended), with or without external laryngeal manipulation (BURP: backwards, upwards and rightwards pressure) | — |
Countries
Tunisia
Contacts
Public ContactAnas Kammoun
Medical resident in anesthesiology and critical care
Outcome results
None listed