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Correlation of Neck Circumference With Difficult Mask Ventilation and Difficult Laryngoscopy in Morbidly Obese Patients

10. februar 2016 opdateret af: Aylin Ozdilek, Istanbul University

Correlation of Neck Circumference With Difficult Mask Ventilation and Difficult Laryngoscopy in Morbidly Obese Turkish Patients: A Prospective Clinical Trial

The aim of this study is to determine the correlation of neck circumference with difficult mask ventilation and laryngoscopy in morbidly obese patients.

Studieoversigt

Status

Afsluttet

Betingelser

Detaljeret beskrivelse

Patients' Mallampati score, upper lip bite test, neck mobility, teeth abnormalities were evaluated preoperatively. Mouth opening, sternomental and thyromental distances, neck circumference, thoracic circumference, breast circumference , belly circumference and hip circumference were measured preoperatively.

After anesthesia induciton with propofol and rocuronium, patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.

Laringoscopy was performed with MacIntosh laryngoscop and Cormack Lehane (CL) score was evaluated. CL score III and IV were defined as difficult laryngoscopy.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

120

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Istanbul, Kalkun, 34098
        • Istanbul University Cerrahpasa Medical Faculty

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Patients with body mass index (BMI) > = 40, applied for elective surgery.

Beskrivelse

Inclusion Criteria:

  • BMI >= 40
  • American Society of Anesthesiologists (ASA) Physical Status I-III
  • Patients applied for elective surgery

Exclusion Criteria:

  • BMI < 40
  • maxillofacial tumor or fracture
  • mass at the neck
  • mass in the thorax or mediastina
  • scar at the neck area
  • previous radiotherapy history to neck area
  • history of cervical vertebra operations
  • cervical vertebra structure abnormality

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Correlation of difficult laryngoscopy with neck circumference
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy.
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with neck circumference
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Correlation of difficult laryngoscopy with modified mallampati score
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy.
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with modified mallampati score
Tidsramme: Ventilation difficulty scale was assessed after during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed after during mask ventilation
Correlation of difficult laryngoscopy with neck movement
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy.
Cormack Lehane score was assessed during laryngoscopy
with neck movement
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with dentition
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy.
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with dentition
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with upper lip bite test
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with upper lip bite test
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with mouth opening
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with mouth opening
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with sternomental distance
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with sternomental distance
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with breast circumference
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with breast circumference
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with thorax circumference
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with thorax circumference
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with waist circumference
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with waist circumference
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation
Correlation of difficult laryngoscopy with hip circumference
Tidsramme: Cormack Lehane score was assessed during laryngoscopy
Cormack Lehane scores III and IV were defined as difficult laryngoscopy
Cormack Lehane score was assessed during laryngoscopy
Correlation of difficult mask ventilation with hip circumference
Tidsramme: Ventilation difficulty scale was assessed during mask ventilation
Patients' mask ventilation difficulty was evaluated as defined below: V1- Ventilated by single anesthesist easily; V2- Ventilated by single anesthesist with oral airway; V3- Ventilated by two anesthesists; V4- Unable to mask ventilate. V3 and V4 was defined as difficult mask ventilation.
Ventilation difficulty scale was assessed during mask ventilation

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Studieleder: Güniz Köksal, Professor, Istanbul University Cerrahpasa Medical Faculty

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. marts 2015

Primær færdiggørelse (Faktiske)

1. december 2015

Studieafslutning (Faktiske)

1. december 2015

Datoer for studieregistrering

Først indsendt

20. august 2015

Først indsendt, der opfyldte QC-kriterier

26. oktober 2015

Først opslået (Skøn)

28. oktober 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

11. februar 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. februar 2016

Sidst verificeret

1. februar 2016

Mere information

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Plan for individuelle deltagerdata (IPD)

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UBESLUTET

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