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

keskiviikko 10. helmikuuta 2016 päivittänyt: 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.

Tutkimuksen yleiskatsaus

Tila

Valmis

Yksityiskohtainen kuvaus

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.

Opintotyyppi

Havainnollistava

Ilmoittautuminen (Todellinen)

120

Yhteystiedot ja paikat

Tässä osiossa on tutkimuksen suorittajien yhteystiedot ja tiedot siitä, missä tämä tutkimus suoritetaan.

Opiskelupaikat

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

Osallistumiskriteerit

Tutkijat etsivät ihmisiä, jotka sopivat tiettyyn kuvaukseen, jota kutsutaan kelpoisuuskriteereiksi. Joitakin esimerkkejä näistä kriteereistä ovat henkilön yleinen terveydentila tai aiemmat hoidot.

Kelpoisuusvaatimukset

Opintokelpoiset iät

18 vuotta - 65 vuotta (Aikuinen, Vanhempi Aikuinen)

Hyväksyy terveitä vapaaehtoisia

Ei

Sukupuolet, jotka voivat opiskella

Kaikki

Näytteenottomenetelmä

Ei-todennäköisyysnäyte

Tutkimusväestö

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

Kuvaus

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

Opintosuunnitelma

Tässä osiossa on tietoja tutkimussuunnitelmasta, mukaan lukien kuinka tutkimus on suunniteltu ja mitä tutkimuksella mitataan.

Miten tutkimus on suunniteltu?

Suunnittelun yksityiskohdat

Mitä tutkimuksessa mitataan?

Ensisijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Correlation of difficult laryngoscopy with neck circumference
Aikaikkuna: 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
Aikaikkuna: 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

Toissijaiset tulostoimenpiteet

Tulosmittaus
Toimenpiteen kuvaus
Aikaikkuna
Correlation of difficult laryngoscopy with modified mallampati score
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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
Aikaikkuna: 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

Yhteistyökumppanit ja tutkijat

Täältä löydät tähän tutkimukseen osallistuvat ihmiset ja organisaatiot.

Tutkijat

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

Julkaisuja ja hyödyllisiä linkkejä

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Opintojen ennätyspäivät

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Maanantai 26. lokakuuta 2015

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Tutkimustietojen päivitykset

Viimeisin päivitys julkaistu (Arvio)

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