Oral Surgery Clinical Trial
Official title:
Classification and Prediction of Difficult Videolaryngoscopic Intubation in Patients Undergoing Oral and Maxillofacial or Ear, Nose and Throat Surgery
Primary aim of this study is to identify independent factors associated with difficult videolaryngoscopic intubation in patients undergoing oral and maxillofacial (OMF) or ear, nose and throat (ENT) surgery. Furthermore, this study intends to assess the diagnostic value of preoperative flexible nasal videoendoscopy to predict difficult videolaryngoscopic intubation in these patients.
Difficult endotracheal intubation is a major reason for anesthesia related adverse events.
Videolaryngoscopy has become an important part of the anesthesiological standard of care for
difficult airway management in the past decades. Still, medical preconditions, as well as
procedural and technical factors related with difficult videolaryngoscopy have not been
systematically investigated, and a standardized comprehensive classification system for the
severity of videolaryngoscopic intubation has yet to be specified. The primary objective of
this study is to identify independent factors associated with difficult videolaryngoscopic
intubation in patients undergoing ENT or OMF surgery.
Patients with conditions of the ENT and OMF spectrum have a predisposition for difficult
airway management and are at high risk for adverse events during endotracheal intubation.
However, current recommendations for preoperative screening for difficult intubation rarely
consider space consuming lesions of the laryngopharyngeal region. Comprehensive data
identifying the predictive value of preoperative flexible nasal videoendoscopy as a
diagnostic measure to anticipate difficult airway management still lack. Thus, secondary aim
of this study is to evaluate the diagnostic value and clinical significance of preoperative
flexible nasal videoendoscopy to predict difficult videolaryngoscopic intubation in these
patients.
Study design:
The investigators conduct a prospective observational study, which includes 400 patients with
predicted difficult airway and confirmed indication for flexible nasal videoendoscopy and
videolaryngoscopic intubation undergoing ENT or OMF surgery.
Procedural and surgical data as well as medical preconditions will be assessed
systematically. The handling anesthetist and two independent observers will be surveyed
(structured questionnaire) in order to assess procedural and technical factors related with
videolaryngoscopic intubation.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02273999 -
Pulsed Electromagnetic Fields for Postoperative Pain: a Linical Trial in Humans
|
N/A | |
| Completed |
NCT03428698 -
Hyaluronic Acid and Amino Acid Gel Applied to the Alveolar Socket After Mandibular Third Molar Extraction
|
N/A | |
| Recruiting |
NCT05089812 -
The Effect of Platelet-rich Fibrin on Clinical and Patient-centered Outcomes of Third Molar Extractions
|
N/A | |
| Withdrawn |
NCT02939222 -
Impact of Buccal Bone Thickness on Pathological Peri-implant Bone Loss: A 3-year Prospective Cohort Study
|
N/A | |
| Completed |
NCT06092177 -
Virtual Reality Distraction in Patients Undergoing Periodontal Surgery
|
N/A | |
| Completed |
NCT02221557 -
Case Series of New Alloplastic Bone Graft Material
|
N/A | |
| Completed |
NCT04390620 -
Assessment of DAFILON® Suture Material in Oral Surgery (Mucosal Sutures)
|
||
| Completed |
NCT02647606 -
Comparison of the Videolaryngoscopes With Manual In-line Stabilization
|
N/A | |
| Completed |
NCT03188289 -
Microbial Growth in the Suture Thread, After Application of Different Antiseptic Gels in Mandibular Third Molars Extraction
|
Phase 4 | |
| Active, not recruiting |
NCT04967963 -
Surgical Management of Stage-2 MRONJ With Transplantation of HAM
|
N/A | |
| Completed |
NCT05351463 -
Papilla Suture Design Affects Papillary Postsurgical Dimensions
|
N/A | |
| Withdrawn |
NCT04008043 -
Pilot Study: Effect of Dexamethasone vs Vicodin in Reducing Post-operative Pain
|
Phase 4 | |
| Completed |
NCT02426515 -
Cryotherapy to Improve Outcomes in Lower Third Molar Surgery
|
N/A |