The Correlation of the Cervical Symptoms With Intubation Quality and Airway Assessment

Cervical Pain Clinical Trial

Official title:

The Correlation of the Cervical Symptoms With Endotracheal Intubation Quality and Preoperative Airway Assessment With Ultrasonography and Magnetic Resonants Imaging, in Patients Operated for Cervical Symptoms

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05188807
• Other study ID #: GErgin
• Status: Completed
• Phase: N/A
• Start date: August 1, 2021
• Est. completion date: November 1, 2023

Study information

• Verified date: November 2023
• Source: Ankara University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Cervical spine disorders can cause neck pain with or without neurological dysfunction. The most common cause of acute and chronic neck pain is cervical degenerative changes. Surgical decision of cervical pathology is made by anamnesis, neurological examination and imaging methods. Airway management can be difficult for patients presenting for cervical spine surgery. In addition, these patients may have severe cervical spine instability or spinal cord level myelopathy and may develop serious neurological complications associated with the intubation technique. Videolaringoscopes, which have become widely used with the developing technology, provide a better view than direct laryngoscopy in terms of cervical immobilization during intubation. Therefore, videolaryngoscope is preferred for cervical pathologies. Nowadays, the use of videolaryngoscope is recommended in patients with airway difficulty. Neutral position is important for intubation of patients with cervical pathology and it is highly recommended in the literature to evaluate these patients as difficult airways. All cervical patients are intubated with videolaryngoscope in investigator's clinic. The aim of this study was to evaluate how long the duration of cervical pathology affects airway anatomy and how it affects airway management during anesthesia. On the other hand, airway-related measurements will be performed by MRI and ultrasonography (USG), which is routinely evaluated in the diagnosis process, and it will be aimed to evaluate these measurements in terms of their effects on intubation quality. At the end of the study, all evaluations were analyzed and it was aimed to compare the effects of other evaluated parameters (such as USG and MRI measurements) on intubation difficulty level, with cervical pathology duration being primary.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 82
• Est. completion date: November 1, 2023
• Est. primary completion date: August 30, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Elective cervical surgery

Exclusion Criteria:

• Patients undergoing emergency surgery
• Cervical tumor patients
• Patients with cognitive dysfunction
• Patients with previous cervical surgery
• Pediatric patients
• Cervical trauma patients
• The presence of cervical spondylitis, spondylodiscitis

Related Conditions & MeSH terms

• Cervical Disease
• Cervical Pain
• Neck Pain
• Uterine Cervical Diseases

Intervention

Diagnostic Test:
• Airway ultrasonography
we will measure hyomental distance, skin-epiglottis distance, skin-hyoid distance, epiglottis-vocalcords distance

Locations

Country	Name	City	State
Turkey	Ankara University School of Medicine	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Ankara University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	intubation time in seconds	for assessing the degree of difficulty in intubation	10 minutes
Secondary	distance of measurements of airway	ultrasonographic measurements such as skin epiglottis distance, skin hyoid distance, epiglottis to vocal cords distance, hyomental distance	10 minutes