This study aims to evaluate the diagnostic accuracy of ultrasonographic airway examination in predicting difficult laryngoscopy in pediatric patients undergoing elective surgery.
A difficult airway in a paediatric patient can be a stressful situation for anaesthesiologists as the most common causes of anaesthesia-related deaths were the result of difficult intubation, which is a more common problem in children than in adults. Ultrasonography is a valuable, promising tool for preoperative airway evaluation through identifying important son anatomy of the upper airway, such as epiglottis, thyroid cartilage, and vocal cords. Many studies have shown that some ultrasonic parameters can predict difficult airways in adults, such as tongue thickness, hyomental distance in the extended position (HMDE), distance from skin to epiglottis (DSE), tongue volume, midsagittal tongue cross-sectional area (TCSA), and tongue width. However, whether these parameters can be used to predict difficult laryngoscopy in children is unclear and needs extensive studies
Study Type
OBSERVATIONAL
Enrollment
308
Ultrasound will be used to measure the hyomental distance in neutral position (HMDRn), hyomental distance in extended position (HMDRe), (HMDR) and (DSE).
Tanta University
Tanta, El-Gharbia, Egypt
RECRUITINGAccuracy of ultrasound measurement of hyomental distance ratio (HMDR)
Accuracy of ultrasound measurement of hyomental distance ratio (HMDR) in predicting difficult laryngoscopy will be recorded
Time frame: 10 minutes till placement of endotracheal tube
Accuracy of ultrasound measurement of distance from skin to epiglottis (DSE)
Accuracy of ultrasound measurement of distance from skin to epiglottis (DSE) in predicting difficult laryngoscopy
Time frame: 10 minutes till placement of endotracheal tube
Correlation between the pre-anaesthetic ultrasonographic airway assessment, hyomental distance ratio (HMDR) and distance from skin to epiglottis (DSE)
Correlation between the pre-anaesthetic ultrasonographic airway assessment, hyomental distance ratio (HMDR) and distance from skin to epiglottis (DSE), with the modified Cormack-Lehane grade of direct laryngoscopic view under general anaesthesia. The laryngoscopic view of the patient's airway will be graded using the Modified Cormack and Lehane grading scale; grades 1 and 2 are considered easy laryngoscopy, and grades 3 and 4 are considered difficult laryngoscopy. Grade 1: the whole glottis is visible. Grade 2: part of the cords is visible. Grade 3: only epiglottis is visible. Grade 4: epiglottis isn't visible.
Time frame: 10 minutes till placement of endotracheal tube
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