RecruitingNot ApplicableNCT07482436

Comparison of Airway Ultrasonography and Laryngoscopy Methods in Obese Patients

The Effect of Preoperative and Postoperative Airway Ultrasonography and Different Laryngoscope Uses on Intubation Success and Postoperative Complications in Obese Patients


Sponsor

Trabzon Kanuni Education and Research Hospital

Enrollment

180 participants

Start Date

Jan 1, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

The main objective of this study was to examine the relationship between classical markers used in assessing difficult airway management in obese patients (Mallampati score, thyromental distance, sternomental distance, neck circumference measurement) and ultrasonographic parameters (vocal cord mobility, glottic opening, hyomental distance, skin-epiglottic distance, and peri-epiglottic space-epiglottic-vocal cord ratio), to compare the effects of these parameters on predicting difficult intubation, and to investigate the effects of different laryngoscopy methods on intubation success and peroperative respiratory complications. The secondary objective of the study is to investigate the effects of different laryngoscopy methods on hemodynamic responses to intubation. Participants' gender, age, height, weight, BMI, ASA physical status classification, smoking status, comorbidities, STOP-BANG and LEMON scores will be recorded. The glottic score percentage (POGO score), glottic visualization time, endotracheal intubation time, use of assistive maneuvers, and Intubation Difficulty Scale (IDS) parameters will be compared according to the laryngoscopy methods used. Participants must meet the following criteria: * Consent given by the patient * Operated under general anesthesia * Over 18 years of age * American Society of Anesthesiologists (ASA) physical status classification I-II-III * Body mass index (BMI) of 30 kg/m2 or higher * Operation duration between 60-150 minutes * Patients undergoing elective surgery.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study compares standard and ultrasound-based methods of assessing the airway before surgery to predict which obese patients may be difficult to intubate (have a breathing tube placed), and also compares three different laryngoscopy tools — a standard blade, and two video laryngoscopes — to see which achieves the best and safest intubation. Difficulty with intubation is more common in obese patients and can lead to serious complications, so better prediction tools are needed. Adults 18 and older with a BMI of 30 or higher who are scheduled for elective surgery under general anesthesia lasting 60 to 150 minutes may be eligible, while those undergoing head or neck surgery, emergency surgery, or who are in the prone (face-down) position are excluded. Participation involves pre-operative airway measurements using both clinical assessment and ultrasound, followed by the intubation procedure and post-operative ultrasound checks. This summary was generated with AI assistance to help patients understand the study in plain language.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREAirway ultrasonography

Preoperative airway ultrasonography will be performed in the waiting area before surgery to evaluate upper airway structures including vocal cord mobility, glottic opening, hyomental distance, skin-to-epiglottis distance, and peri-epiglottic space-epiglottis-vocal cord ratio. Measurements will be obtained with a Mindray Consona N7 ultrasound device while the patient is in the supine position. Each measurement will be performed three times and the average value will be recorded. Postoperative airway ultrasonography will be repeated at 30 minutes in the recovery unit.

DEVICEMacintosh Laryngoscope Intubation

Endotracheal intubation will be performed using a conventional Macintosh direct laryngoscope under standardized general anesthesia induction.

DEVICETuoren Videolaryngoscope Intubation

Endotracheal intubation will be performed using the Tuoren videolaryngoscope under standardized general anesthesia induction.

DEVICEBesdata Videolaryngoscope Intubation

Endotracheal intubation will be performed using the Besdata videolaryngoscope under standardized general anesthesia induction.


Locations(1)

Trabzon University Faculty of Medicine Kanuni Training and Research Hospital

Trabzon, Turkey (Türkiye)

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NCT07482436