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

10. februar 2016 oppdatert av: 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.

Studieoversikt

Status

Fullført

Forhold

Detaljert 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.

Studietype

Observasjonsmessig

Registrering (Faktiske)

120

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiesteder

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

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år til 65 år (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Prøvetakingsmetode

Ikke-sannsynlighetsprøve

Studiepopulasjon

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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Etterforskere

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

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart

1. mars 2015

Primær fullføring (Faktiske)

1. desember 2015

Studiet fullført (Faktiske)

1. desember 2015

Datoer for studieregistrering

Først innsendt

20. august 2015

Først innsendt som oppfylte QC-kriteriene

26. oktober 2015

Først lagt ut (Anslag)

28. oktober 2015

Oppdateringer av studieposter

Sist oppdatering lagt ut (Anslag)

11. februar 2016

Siste oppdatering sendt inn som oppfylte QC-kriteriene

10. februar 2016

Sist bekreftet

1. februar 2016

Mer informasjon

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UBESLUTTE

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