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NCT Number: NCT07384611

Preoperative Prediction of Difficult Airway in Children

This prospective observational study aims to evaluate the predictive value of preoperative clinical airway assessment parameters for difficult airway management in pediatric patients undergoing elective surgery under general anesthesia. Preoperative clinical measurements and bedside airway tests will be recorded, and their association with intraoperative airway outcomes, including difficult laryngoscopy and difficult intubation, will be analyzed. Difficult laryngoscopy will be defined as Cormack-Lehane grade III-IV, while secondary outcomes will include difficult intubation, difficult mask ventilation, and airway-related complications. The study seeks to identify clinically applicable predictors and improve preoperative risk stratification for pediatric airway management. The findings may contribute to safer anesthetic practice in children by facilitating early identification of patients at increased airway risk.

Recruiting

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Key information

Age range

1 day–12 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Who can participate

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

Inclusion criteria

  • Pediatric patients aged 0-12 years
  • Scheduled for elective surgery requiring endotracheal intubation under general anesthesia
  • ASA physical status I-III
  • Written informed consent obtained from parent(s) or legal guardian(s)

Exclusion criteria

  • Patients older than 12 years
  • ASA physical status IV or higher
  • Emergency situations that do not allow systematic documentation of the airway management process
  • Presence of a congenital or acquired tracheostomy
  • Surgical procedures planned to be performed using a supraglottic airway without endotracheal intubation
  • Surgical procedures planned to be performed using face mask ventilation without endotracheal intubation
  • Inability to obtain parental or legal guardian consent

Treatment and study plan

Preoperative Clinical Airway Assessment

Other

Preoperative clinical airway assessment including bedside airway examination and anthropometric measurements performed as part of routine anesthetic evaluation, without any additional intervention beyond standard clinical practice.

Primary outcomes

  1. Difficult Laryngoscopy

    Time frame: Perioperative/Periprocedural

    Difficult laryngoscopy defined as Cormack-Lehane grade III or IV during laryngoscopy at tracheal intubation.

Secondary outcomes

  1. First-Attempt Intubation Success

    Time frame: Perioperative/Periprocedural

    Successful tracheal intubation achieved on the first attempt without the need for additional airway devices or techniques.

Study contacts

Contact information is provided by the study sponsor or research team.

Aslı Dönmez

CONTACT

[email protected]

00905322256473

Elif Şule Özdemir Sezgi

CONTACT

[email protected]

00905059209638

Sponsors and collaborators

Lead sponsor

Diskapi Yildirim Beyazit Education and Research Hospital

Other Gov

Registry information

Official study title

Prediction of Difficult Airway in Pediatric Patients Using Preoperative Clinical Parameters

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Feb 3, 2026
Registry last updated
Feb 11, 2026

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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