Ignite Creation Date:
2024-10-26 @ 3:43 PM
Last Modification Date:
2024-10-26 @ 3:43 PM
Study NCT ID:
NCT06651879
Status:
RECRUITING
Last Update Posted:
None
First Post:
2024-08-02
Brief Title:
Ultrasound Airway Assessment of Critically Ill Preeclamptic Comparison Between Two Technique
Sponsor:
None
Organization:
None
Study Overview
Official Title:
The Preoperative Use of Ultrasound in Airway Assessment in Critically Ill Obstetrics with Pre-eclampsia Comparison Between Two Ultrasound Techniques in Relation to the Standard Clinical Assessment
Status:
RECRUITING
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Unexpected difficult airway exposes the patient to serious morbidity and even mortality The changes in pregnancy and preeclampsia increase the risk of difficult intubation Proper anticipation affects the outcome and enhances safety especially in critically ill patients This research aims to assess the superiority of either 2 views or 5 views ultrasound assessment in predictivity of difficult airway difficult ventilation laryngoscopy and intubation and their comparison to traditional clinical examination by El-Ganzouri Risk Index EGRI in critically ill obstetric patients with pre-eclampsia
Detailed Description:
Unexpected difficult airway exposes the patient to serious morbidity and even mortality Obstetrics airway carries the risk of complications due to physiological changes The airway shows more restriction and changes in preeclamptic patients and peripartum periods A study reported one incidence of difficult intubation in obstetrics in 20 cases Inadequate airway management leads to failure in ventilation and oxygenation of the critically ill mother and her fetus
the Practice Guidelines for Management of the Difficult Airway by the American Society of Anesthesiologists ASA define the difficult airway as difficult facemask ventilation of the upper airway difficult tracheal intubation or both preoperative assessment of the airway avoids that risk however current clinical screening tests have low sensitivity and specificity with limited predictivity
Ultrasound US provides a more precise assessment for tissues like epiglottis vocal cords and ring-shaped membranes thus it facilitates a bedside non-invasive objective airway assessment Moreover ultrasound assessment can plan and guide airway interventions if needed The airway in pregnancy goes through changes a study concluded that The US airway assessment parameters differ significantly between pregnant and non-pregnant patients Previous studies reported that the best predictors of difficult laryngoscopy andor difficult intubation were the epiglottis midline-skin distance hyoid bone-to-skin distance thyroid cartilage-to-skin distance thyrohyoid membrane-to-skin distance and vocal cord anterior commissure-skin distance also predicted difficult airway In Pregnancy hyoid bone visibility and Pre-EE-VC ratio were independent predictors of the difficult airway
Researchers suggested different techniques for airway ultrasound Some suggested detailed technique that allows the determination of multiple parameters Others suggested a more concise protocol to lessen the time of assessment and to avoid complexity
This trial assesses the superiority of either 2 views or 5 views ultrasound assessment in predictivity of difficult airway difficult ventilation laryngoscopy and intubation and their comparison to traditional clinical examination by El-Ganzouri index GREI 9 in critically ill obstetric patients with pre-eclampsia
the Practice Guidelines for Management of the Difficult Airway by the American Society of Anesthesiologists ASA define the difficult airway as difficult facemask ventilation of the upper airway difficult tracheal intubation or both preoperative assessment of the airway avoids that risk however current clinical screening tests have low sensitivity and specificity with limited predictivity
Ultrasound US provides a more precise assessment for tissues like epiglottis vocal cords and ring-shaped membranes thus it facilitates a bedside non-invasive objective airway assessment Moreover ultrasound assessment can plan and guide airway interventions if needed The airway in pregnancy goes through changes a study concluded that The US airway assessment parameters differ significantly between pregnant and non-pregnant patients Previous studies reported that the best predictors of difficult laryngoscopy andor difficult intubation were the epiglottis midline-skin distance hyoid bone-to-skin distance thyroid cartilage-to-skin distance thyrohyoid membrane-to-skin distance and vocal cord anterior commissure-skin distance also predicted difficult airway In Pregnancy hyoid bone visibility and Pre-EE-VC ratio were independent predictors of the difficult airway
Researchers suggested different techniques for airway ultrasound Some suggested detailed technique that allows the determination of multiple parameters Others suggested a more concise protocol to lessen the time of assessment and to avoid complexity
This trial assesses the superiority of either 2 views or 5 views ultrasound assessment in predictivity of difficult airway difficult ventilation laryngoscopy and intubation and their comparison to traditional clinical examination by El-Ganzouri index GREI 9 in critically ill obstetric patients with pre-eclampsia
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None