Pediatric Difficult Airway Prediction Using Ultrasonography

N/ACompletedNCT04361929

Cairo University584 enrolled

Overview

Recognition of difficult airway is purported to be the most important factor in successful management of difficult airway. The incidence of difficult airway in pediatrics is much less than in adults; however, airway related complications can lead to hypoxic brain damage or even death especially in younger age groups as neonates and infants.The aim of this work is to evaluate the feasibility and accuracy of ultrasound measurements (hyomental distances, tongue measurements, and anterior neck soft tissue thickness at the level of hyoid bone, thyrohyoid membrane, and thyroid cartilage) in predicting difficult laryngoscopy and difficult mask ventilation in pediatric patients undergoing elective surgery under general anesthesia.

Study Type

OBSERVATIONAL

Enrollment

584

Conditions

Difficult Intubation Difficult Mask Ventilation

Interventions

UltrasoundDEVICE

The following ultrasound measurements will be assessed: DS-HB, HMDR, TT, TT-S, TW, EW, ET, DS-E, and DS-V.

Eligibility

Sex: ALLMin age: 1 MonthMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Gender both males and females * ASA Class I and II * Age 1month to 10 years * Children undergoing elective surgery under general anaesthesia Exclusion Criteria: * congenital upper airway malformation, * head and neck swellings, * scars, * radiation to the neck, * tracheotomy, * Neurosurgical or cardiac procedures * ENT surgeries

Outcomes

Primary Outcomes

The sensitivity of DS-HB to predict difficult laryngoscopy

The ability of DS-HB ultrasound measurement to predict difficult airway in pediatrics

Time frame: 30 minutes