RecruitingNCT07384611

Preoperative Prediction of Difficult Airway in Children

Prediction of Difficult Airway in Pediatric Patients Using Preoperative Clinical Parameters


Sponsor

Diskapi Yildirim Beyazit Education and Research Hospital

Enrollment

1,000 participants

Start Date

Feb 2, 2026

Study Type

OBSERVATIONAL

Conditions

Summary

This prospective observational study aims to evaluate the predictive value of preoperative clinical airway assessment parameters for difficult airway management in pediatric patients undergoing elective surgery under general anesthesia. Preoperative clinical measurements and bedside airway tests will be recorded, and their association with intraoperative airway outcomes, including difficult laryngoscopy and difficult intubation, will be analyzed. Difficult laryngoscopy will be defined as Cormack-Lehane grade III-IV, while secondary outcomes will include difficult intubation, difficult mask ventilation, and airway-related complications. The study seeks to identify clinically applicable predictors and improve preoperative risk stratification for pediatric airway management. The findings may contribute to safer anesthetic practice in children by facilitating early identification of patients at increased airway risk.


Eligibility

Min Age: 1 DayMax Age: 12 Years

Inclusion Criteria4

  • Pediatric patients aged 0-12 years
  • Scheduled for elective surgery requiring endotracheal intubation under general anesthesia
  • ASA physical status I-III
  • Written informed consent obtained from parent(s) or legal guardian(s)

Exclusion Criteria7

  • Patients older than 12 years
  • ASA physical status IV or higher
  • Emergency situations that do not allow systematic documentation of the airway management process
  • Presence of a congenital or acquired tracheostomy
  • Surgical procedures planned to be performed using a supraglottic airway without endotracheal intubation
  • Surgical procedures planned to be performed using face mask ventilation without endotracheal intubation
  • Inability to obtain parental or legal guardian consent

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Interventions

OTHERPreoperative Clinical Airway Assessment

Preoperative clinical airway assessment including bedside airway examination and anthropometric measurements performed as part of routine anesthetic evaluation, without any additional intervention beyond standard clinical practice.


Locations(1)

Ankara Etlik City Hospital

Ankara, Turkey (Türkiye)

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NCT07384611


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