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OpenTrials
Completed

NCT Number: NCT03641157

Predicting Difficult Airway in Children

Background: Obtaining airway security holds the utmost importance in anesthesia. Specific predictive tests or findings for difficult airway are not defined for various pediatric age groups. Anthropometric measurements are defined parallel to percentile curves in different age groups.

Aim: The aim of this study is to find out the value of body mass index and anthropometric measurements in prediction of difficult laryngoscopy in children by comparing to direct laryngoscopic evaluation of Cormack-Lehane test.

Methods: Following institutional ethics committee approval and informed consent of parents of 108 patients (ages 0-3years), undergoing elective surgery were included in this study. Weight, height, body mass index and head circumference of the patients were measured and percentiles were recorded, prior to induction.

Following standard anesthesia induction with thiopental all patients received 0,6 mg.kg-1 rocuronium intravenously. After sufficient time for neuromuscular relaxation laryngoscopy performed and Cormack-Lehane scores recorded. All recorded parameters were compared with Cormack-Lehane scores.

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Key information

Age range

1 month–36 month

Sex eligibility

All sexes

Study type

Observational

Primary location

Tepecik Education and Research Hospital

Izmir, Turkey (Türkiye)

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 0-3 years old (1-36 mounts) pediatric patients
  • Patients 0-3 age years old with ASA I, undergoing elective surgery were included in this study

Exclusion criteria

  • Patients with known syndrome, facial anomaly, ASA score above 2 and laryngeal mask aiway were excluded from the study

Treatment and study plan

Easy Intubation

Other

Other names: Difficult intubation

Primary outcomes

  1. Difficult laryngoscopy classification using Cormack-LehaneGrade Assessment of difficult laryngoscopy at the time of the airway management procedure.

    Time frame: immediate

    Classified as Grade I-visualization of entire laryngeal aperture, grade II-visualization of only posterior commissure of laryngeal aperture, grade III-visualization of only epiglottis, grade IV-visualization of just the soft palate.

Secondary outcomes

  1. Head circumference measured in cm with a measuring tape.

    Time frame: immediate

    Head circumference were taken at the level above eyebrows and ears and measured in cm with a measuring tape.

  2. Weight measured in kilogram with electronic scale.

    Time frame: immediate

    Weight measured using electronic scale (0-20 kg) while undressed and without diapers .

  3. Height measured in cm with infantometer.

    Time frame: immediate

    Height measured using a portable infantometer (0-100 cm) while the child was in supine position.

  4. BMI was calculated as kg/m2.

    Time frame: immediate

    BMI measured using a weight/height2 formul

  5. Percentage values measured in % with percentile tables.

    Time frame: immediate

    Percentage (%) values using from the percentile tables of Turkish children were determined after the head circumference (cm), height (cm), weight (kg) and BMI (kg/m2) values of all pediatric cases were determined as described above.

Sponsors and collaborators

Lead sponsor

Tepecik Training and Research Hospital

Other

Registry information

Official study title

Value of BMI and Anthropometric Measurements With CL Test in Predicting Difficult Laryngoscopy in Children

Important dates

Study start
2014
Primary completion
2016
Study completion
2016
First posted
Aug 21, 2018
Registry last updated
Aug 21, 2018

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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