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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06183060
Other study ID # IRB00006761-M2022105
Secondary ID
Status Recruiting
Phase
First received
Last updated
Start date March 21, 2022
Est. completion date March 31, 2026

Study information

Verified date November 2023
Source Peking University Third Hospital
Contact Yongzheng Han, M.D.
Phone +86 15201304460
Email hanyongzheng@bjmu.edu.cn
Is FDA regulated No
Health authority
Study type Observational

Clinical Trial Summary

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.


Description:

In the past, the evaluation of difficult airway mainly depended on physical indicators, but the internal structure of airway could not be found by appearance inspection. Therefore, unexpected emergency airway often appeared in clinical work, which seriously affected medical safety. In this study, the specific mechanism of difficult laryngoscopy in patients undergoing cervical spondylosis surgery is clarified by the combination of the physical indicators and radiologic indicators. On this basis, we will establish the preoperative airway evaluation system for cervical spondylosis surgery, optimize the standardized process of preoperative airway evaluation, and accurately screen out high-risk patients.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
endotracheal intubation
all patients will receive laryngoscopy and endotracheal intubation

Locations

Country Name City State
China Peking University Third Hospital Beijing Beijing

Sponsors (1)

Lead Sponsor Collaborator
Peking University Third Hospital

Country where clinical trial is conducted

China, 

References & Publications (2)

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

Outcome

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
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