RecruitingNCT07316179

Predicting Difficult Intubation in Bariatric Surgery: Comparison of El Ganzouri Risk Index and Airway Ultrasound

A Prospective Observational Study Comparing the El Ganzouri Risk Index and Airway Ultrasonography in Predicting Difficult Intubation in Patients Undergoing Bariatric Surgery


Sponsor

Antalya Training and Research Hospital

Enrollment

52 participants

Start Date

Dec 25, 2025

Study Type

OBSERVATIONAL

Conditions

Summary

This study is designed as a prospective observational study and will be conducted at the Health Sciences University Antalya Training and Research Hospital. Adult patients scheduled to undergo bariatric surgery will be included. The aim of this study is to compare the El Ganzouri Risk Index (EGRI) and airway ultrasonography (USG) parameters in predicting difficult intubation and to evaluate their relationship with the Cormack-Lehane (CL) score obtained during direct laryngoscopy. Before surgery, each participant will be evaluated using both the EGRI scoring system and airway USG. During general anesthesia, tracheal intubation will be performed using direct laryngoscopy, and data including the CL score, intubation time, number of attempts, and the need for videolaryngoscopy will be recorded based on the anesthesiologist's observations. The collected data will be analyzed by classifying participants according to the presence or absence of difficult intubation, and statistical comparisons will be performed between EGRI scores and airway ultrasonography parameters. The results of this study may contribute to improved preoperative airway assessment and enhanced patient safety in bariatric surgery.


Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria4

  • Adult patients aged 18 to 65 years.
  • ASA physical status classification II or III.
  • Scheduled to undergo elective bariatric surgery under general anesthesia.
  • Patients who voluntarily agree to participate in the study and sign the informed consent form.

Exclusion Criteria6

  • Patients younger than 18 years or older than 65 years
  • Presence of upper airway anatomical pathology
  • History of tracheal or thyroid surgery.
  • History of radiotherapy to the head and neck region.
  • Cervical spine anomalies.
  • Individuals unwilling to participate in the study.

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Locations(1)

Antalya Training and Research Hospital

Antalya, Antalya, Turkey (Türkiye)

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NCT07316179


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