Difficult Airway Clinical Trial
Official title:
Department of Anesthesiology, Peking University Third Hospital, Associate Chief Physician; M.D.
Based on the evaluation of preoperative physical indicators and radiologic indicators of cervical surgery, this study puts forward effective indicators for predicting difficult airway before operation, and establishes a comprehensive decision support system of difficult airway evaluation, so as to provide a theoretical basis for the early warning of difficult airway before cervical spondylosis surgery.
Status | Recruiting |
Enrollment | 1000 |
Est. completion date | March 31, 2026 |
Est. primary completion date | December 31, 2025 |
Accepts healthy volunteers | |
Gender | All |
Age group | 20 Years to 80 Years |
Eligibility | Inclusion Criteria: - patients of ASA I-III - scheduled for elective surgery for cervical spondylosis under general anesthesia with tracheal intubation Exclusion Criteria: - patients with cervical spine instability - oropharyngeal mass - airway disease - preoperative imaging data were incomplete - refuse to sign informed consent |
Country | Name | City | State |
---|---|---|---|
China | Peking University Third Hospital | Beijing | Beijing |
Lead Sponsor | Collaborator |
---|---|
Peking University Third Hospital |
China,
Han YZ, Tian Y, Xu M, Ni C, Li M, Wang J, Guo XY. Neck circumference to inter-incisor gap ratio: a new predictor of difficult laryngoscopy in cervical spondylosis patients. BMC Anesthesiol. 2017 Apr 4;17(1):55. doi: 10.1186/s12871-017-0346-y. — View Citation
Han YZ, Tian Y, Zhang H, Zhao YQ, Xu M, Guo XY. Radiologic indicators for prediction of difficult laryngoscopy in patients with cervical spondylosis. Acta Anaesthesiol Scand. 2018 Apr;62(4):474-482. doi: 10.1111/aas.13078. Epub 2018 Jan 31. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | inter-incisor gap | physical indicator | measurement one day before operation] | |
Other | thyromental distance | physical indicator | measurement one day before operation] | |
Other | neck circumference, | physical indicator | measurement one day before operation] | |
Other | modified Mallampati test, | physical indicator | measurement one day before operation] | |
Primary | Cormack-Lehane (CL) classification | describe laryngeal view during direct laryngoscopy | During induction | |
Secondary | X1(X-ray indicators) | distance between the temporomandibular joint and tip of the upper incisors | During review the X-ray image | |
Secondary | X2(X-ray indicators) | perpendicular distance from the hard palate to the tip of the upper incisors | During review the X-ray image | |
Secondary | X3(X-ray indicators) | length of the mandibular body | During review the X-ray image | |
Secondary | X4(X-ray indicators) | vertical distance from the highest point of the hyoid bone to the mandibular body | During review the X-ray image | |
Secondary | X5(X-ray indicators) | distance from the antero-inferior border of the fourth cervical vertebra to the antero-superior border of the ?rst cervical vertebra | During review the X-ray image | |
Secondary | X6(X-ray indicators) | atlanto-occipital gapantero-superior border of the ?rst cervical vertebra | During review the X-ray image | |
Secondary | X7(X-ray indicators) | horizontal distance from the highest point of the hyoid bone to the border of the nearest cervical vertebra | During review the X-ray image | |
Secondary | X8(X-ray indicators) | distance between the spinous processes of the ?rst cervical vertebra and the second cervical vertebra | During review the X-ray image | |
Secondary | A1 (X-ray indicators) | the angle between a line passing through the bottom of second cervical vertebra and a line passing through the bottom of sixth cervical vertebra in the neutral/ extension position | During review the X-ray image | |
Secondary | Hp-h (CT/MRI indicators) | the distance from back end of the hard palate to the top of hyoid | During review the CT/MRI image | |
Secondary | Ht (CT/MRI indicators) | the height of the tongue base, along Hp-h from the tongue to the top of hyoid | During review the CT/MRI image | |
Secondary | Dt-p (CT/MRI indicators) | the distance from the back end of tongue to posterior pharyngeal wall | During review the CT/MRI image | |
Secondary | Dt (CT/MRI indicators) | the distance from the back end of tongue to Hp-h | During review the CT/MRI image | |
Secondary | S (CT/MRI indicators) | the central sectional area of the tongue base behind Hp-h | During review the CT/MRI image | |
Secondary | W (CT/MRI indicators) | the maximal width of the tongue base | During review the CT/MRI image | |
Secondary | V (CT/MRI indicators) | volume of the tongue base | During review the CT/MRI image | |
Secondary | Rs (CT/MRI indicators) | Rs= S/( Hp-h* Dt-p); Rv =V/( Hp-h* Dt-p*W) | During review the CT/MRI image | |
Secondary | MRI1 (MRI indicators) | distance between the base of the tongue and the posterior pharyngeal wall | During review the CT/MRI image | |
Secondary | MRI2 (MRI indicators) | distance between the epiglottis and the posterior pharyngeal wall | During review the CT/MRI image | |
Secondary | MRI3 (MRI indicators) | distance between the uvula and the posterior pharyngeal wall | During review the CT/MRI image | |
Secondary | MRI4 (MRI indicators) | distance between the vocal cords and the posterior pharyngeal wall | During review the CT/MRI image | |
Secondary | MRI5 (MRI indicators) | length of the epiglottis | During review the CT/MRI image |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05347121 -
Difficult Airway and Ultrasonographic Evaluation
|
||
Completed |
NCT05519358 -
Midsagittal Tongue Measurement to Predict Difficult Airways
|
||
Completed |
NCT01100957 -
Evaluation of the Single Use Flexible Optical Scope Versus Multiple Use Flexible Optical Scopes for Intubation
|
N/A | |
Completed |
NCT01328405 -
Air-Q Intubating Laryngeal Airway Versus the Laryngeal Mask Airway (LMA)-Proseal
|
Phase 4 | |
Not yet recruiting |
NCT03125837 -
Establishment of Airway Database for Surgical Patients
|
N/A | |
Completed |
NCT01632683 -
STorz Against Glidescope Effectiveness
|
N/A | |
Completed |
NCT05327842 -
Evaluation of a Flexible Videoscope Training Simulator
|
N/A | |
Withdrawn |
NCT03313947 -
Airway Ultrasound Prediction and Correlation
|
N/A | |
Completed |
NCT02979171 -
Comparison in Difficult Airway Scenario Induced in Patients With Laryngeal Mask Airway (LMA)-Classic™, LMA™ - Flexible and LMA - Proseal™
|
Phase 4 | |
Completed |
NCT02313168 -
F.R.O.N.T. Formula for Pre-operative Airway Assessment and Documentation
|
N/A | |
Completed |
NCT00500916 -
Different Techniques for Insertion of the ProSeal Laryngeal Mask Airway in Patients With Difficult Airway
|
N/A | |
Not yet recruiting |
NCT05736198 -
Comparison of Two Sedation Regimens for Awake Fiberoptic Intubation
|
||
Completed |
NCT05414214 -
Thyromental Height Test Versus Sternomental Displacement in Elderly
|
||
Recruiting |
NCT04458220 -
Research on Early Warning and Solution System of Difficult Airway in Perioperative Period Based on Artificial Intelligence
|
||
Recruiting |
NCT02811562 -
Learning Curves of Intubation for Simulated Difficult Airway Scenarios by Manikin: Comparison of Combined Pentax Airwayscope-fiberoptic Bronchoscope and Fiberoptic Bronchoscope Alone
|
N/A | |
Completed |
NCT04005950 -
Comparison of a Conventional and a Realistic Self-modified Model
|
||
Active, not recruiting |
NCT01185535 -
Effects of Topical Anesthesia With Pressure Nebulized 2% Lidocaine During Awake Intubation
|
Phase 2/Phase 3 | |
Recruiting |
NCT06000267 -
Incidence and Contributing Anthropometric Factors of Difficult Airway in Pediatric Surgical Patients
|
||
Completed |
NCT03404453 -
Difficult Airway Prediction in Paediatric Anaesthesia
|
||
Completed |
NCT01664234 -
Oxygen Insuflation and ArterialDesaturation During Tracheal Intubation in Children
|
N/A |