A Comparison of Airway Ultrasound and Clinical Parameters for Predicting Difficult Laryngoscopy in the Emergency Department: A Study Protocol.

Autor: Kadadi S; Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Gadkari C; Department of Emergency Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND., Pundkar A; Department of Orthopedics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Sep 16; Vol. 16 (9), pp. e69543. Date of Electronic Publication: 2024 Sep 16 (Print Publication: 2024).
DOI: 10.7759/cureus.69543
Abstrakt: Background:  Airway assessment plays an important part in airway management. Over the years, ultrasound has emerged as an alternative modality for airway assessment. We aim to assess the accuracy of clinical parameters, ultrasonographic upper airway parameters, and laryngoscopic grade, using the Cormack-Lehane classification, to predict difficult laryngoscopy in the emergency department (ED). The primary objective is to determine the accuracy of ultrasonography parameters compared to Cormack-Lehane grading in predicting difficult laryngoscopy in adults. The secondary objective is to assess the accuracy of clinical parameters compared to Cormack-Lehane grading in predicting difficult laryngoscopy in adults.
Methods: A sample of 62 adult patients over 18 years who come to the emergency department and require endotracheal intubation will undergo an ultrasonographic examination of the upper airway. During this examination, an emergency medicine physician will measure the skin-to-epiglottis distance and tongue thickness using the GE Healthcare (Chicago, IL) ultrasound and color Doppler (model: Logic E).
Results: The results of the study will be drawn in 2025 upon its completion.
Conclusions: The conclusion will be drawn regarding the correlation between ultrasound parameters and Cormack-Lehane grading and clinical parameters in predicting difficult laryngoscopy.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Institutional Ethics Committee, Datta Meghe Institute of Higher Education and Research, Wardha issued approval DMIHER (DU)/IEC/2024/193. Clinical Trials Registry of India (CTRI) under CTRI no. CTRI/2024/06/069097. Animal subjects: All authors have confirmed that this study did not involve animal subjects or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Kadadi et al.)
Databáze: MEDLINE