Paratracheal pressure may have a role in the prevention of pulmonary aspiration. The effects of paratracheal pressure on glottic view, ease of facemask ventilation, or tracheal intubation are not studied yet. In this study, the subjects are divided into two groups (group I: paratracheal pressure applied during induction of anesthesia, group II: conventional Sellick's maneuver applied during induction of anesthesia). Investigators will assess the glottic view during direct laryngoscopy.
Primary outcome: -Cormack-Lehane grade Secondary outcome: * POGO score before and after application of each intervention * Difficulties of mask ventilation after application of each intervention * Inspiratory pressure and tidal volume during manual mask ventilation * Rates of worsening of the glottic view after intervention * The difficulty of endotracheal intubation * Intubation time
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
140
Paratracheal pressure is applied by 30N force with the ultrasound transducer.
Conventional Sellick's maneuver is applied by 30N force
Seoul National University Hospital
Seoul, South Korea
SMG - SNU Boramae Medical Center
Seoul, South Korea
Cormack-Lehane grade
Cormack-Lehane grade
Time frame: During anesthesia induction procedure
POGO
The percentage of glottic opening (POGO), linear span from the anterior commissure to the interarytenoid notch, 0-100%, higher value represent a better view
Time frame: During anesthesia induction procedure
Difficulty of mask ventilation
Difficulty of mask ventilation evaluated by the anesthesiologist (Easy/Moderate/Difficult/Impossible)
Time frame: During anesthesia induction procedure
Inspiration pressure
Pressure to maintain adequated ventilation after application of the intervention
Time frame: During anesthesia induction procedure
Tidal volume
Tidal volume which is achieved after application of the intervention
Time frame: During anesthesia induction procedure
Intubation difficulty
Subjective evaluation of the difficulty to pass the endotracheal tube into the glottic opening, easy/moderate/difficult
Time frame: During anesthesia induction procedure
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.