Utility of Bedside Ultrasound in the Prediction of Difficult Airway - Full Text View

Sponsors and Collaborators:	University of Nebraska The Association for Medical Ultrasound
Information provided by:	University of Nebraska
ClinicalTrials.gov Identifier:	NCT00799357

Purpose

A variety of pre-intubation clinical screening tests have been advocated to predict difficult laryngoscopy, but their usefulness is limited in emergency department, intensive care unit, pre-hospital and combat settings. Patients in these settings are often confused, lethargic, obtunded, uncooperative and common screening tests for difficult laryngoscopy cannot be applied in a large number of emergency intubations. In the recent past, there has been growing interest in upper airway ultrasound. The purpose of this study is to assess the utility of bedside ultrasound to predict difficult airway in patients requiring emergency intubation.

Condition
Laryngoscopy

MedlinePlus related topics: Ultrasound

U.S. FDA Resources

Study Type:	Observational
Study Design:	Cross-Sectional
Official Title:	Utility of Bedside Ultrasound in the Prediction of Difficult Airway

Further study details as provided by University of Nebraska:

Primary Outcome Measures:

Predictors of difficult laryngoscopy [ Time Frame: one day ] [ Designated as safety issue: No ]

Biospecimen Retention: None Retained

Biospecimen Description:

Estimated Enrollment:	162
Study Start Date:	December 2008
Estimated Study Completion Date:	August 2009
Estimated Primary Completion Date:	June 2009 (Final data collection date for primary outcome measure)

Eligibility

Ages Eligible for Study:	19 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No
Sampling Method:	Probability Sample

Study Population

Pre-op patients

Criteria

Inclusion Criteria:

Patients scheduled for any surgery under general anesthesia with endotracheal intubation

Exclusion Criteria:

Upper airway pathologies (facial fractures, tumours, etc)
Cervical spine fractures
Tracheostomy tube
unable to give consent

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00799357

Contacts

Contact: Srikar R Adhikari, MD

402-559-5413

sadhikari@unmc.edu

Locations

United States, Nebraska
University of Nebraska Medical Center	Recruiting
Omaha, Nebraska, United States, 68198
Principal Investigator: Srikar R Adhikari, MD

Sponsors and Collaborators

University of Nebraska

The Association for Medical Ultrasound

Investigators

Principal Investigator:

Srikar R Adhikari

University of Nebraska

More Information

Publications of Results:

Komatsu R, Sengupta P, Wadhwa A, Akça O, Sessler DI, Ezri T, Lenhardt R. Ultrasound quantification of anterior soft tissue thickness fails to predict difficult laryngoscopy in obese patients. Anaesth Intensive Care. 2007 Feb;35(1):32-7.

Ezri T, Gewürtz G, Sessler DI, Medalion B, Szmuk P, Hagberg C, Susmallian S. Prediction of difficult laryngoscopy in obese patients by ultrasound quantification of anterior neck soft tissue. Anaesthesia. 2003 Nov;58(11):1111-4.

Chou HC, Wu TL. Large hypopharyngeal tongue: a shared anatomic abnormality for difficult mask ventilation, difficult intubation, and obstructive sleep apnea? Anesthesiology. 2001 May;94(5):936-7. No abstract available.

Responsible Party:	University of Nebraska Medical Center ( Srikar Adhikari )
Study ID Numbers:	526-08-EP
Study First Received:	November 26, 2008
Last Updated:	December 22, 2008
ClinicalTrials.gov Identifier:	NCT00799357
Health Authority:	United States: Institutional Review Board

Keywords provided by University of Nebraska:

ultrasound

ClinicalTrials.gov processed this record on January 16, 2009