Airway Coach Project: Prediction of Videolaryngoscopy Strategy With Clinical and Ultrasound Parameters (Unicentric)
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Ultrasound mesurements.
- Кому может быть актуально
- Состояния в реестре: Difficult Videolaryngoscopy. Базовые параметры: 18 лет — 90 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Испания
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
This unicentric observational study collects clinical characteristics, demographic data, and point-of-care airway ultrasound measurements in patients undergoing videolaryngoscopy. These variables are analysed using machine-learning techniques to examine their association with predefined videolaryngoscopy-related outcomes, including blade performance and adjunct requirement.
Подробное описание
Tracheal intubation is a routine procedure in anaesthesia and critical care; however, difficulties during videolaryngoscopy may still occur despite advances in airway devices. Conventional bedside airway assessments provide limited guidance for videolaryngoscopy-specific decisions, such as blade selection or anticipation of adjunct use.
This unicentric observational study collects clinical characteristics, demographic data, and point-of-care airway ultrasound measurements in patients undergoing videolaryngoscopy. These variables are analysed using machine-learning techniques to examine their association with predefined videolaryngoscopy-related outcomes, including blade performance and adjunct requirement.
The primary objective is to develop and internally evaluate a predictive model integrating multimodal data to support videolaryngoscopy strategy planning. The model is intended solely as a research and decision-support tool and does not replace clinician judgement. External validation in independent cohorts is planned.
Вмешательства
- Диагностический тест Ultrasound mesurements
Compare various clinical test with ultrasound parameters to predict difficult videolaryngoscopy intubation.
Первичные конечные точки
- Distance from skin to Hyoid bone measured with lineal ultrasound probe [Срок оценки: 5 minutes]
- Distance from skin to epiglottis measured with lineal ultrasound probe [Срок оценки: 5 minutes]
- Tongue Thickness measured with convex probe [Срок оценки: 5 minutes]
- Distance from Jaw to Hyoid bone distance measured with convex probe [Срок оценки: 5 minutes]
Вторичные конечные точки (6)
- Modified Mallampati Score Class I: Soft palate, uvula, fauces, pillars visible. Class II: Soft palate, major part of uvula, fauces visible. Class III: Soft palate, base of uvula visible. Class IV: Only hard palate visible. [Срок оценки: 1minute]
- Thyromental distance measured from the thyroid notch to the tip of the jaw with the head extended [Срок оценки: 1minute]
- Sternomental distance the distance from the suprasternal notch to the mentum and is measured with the head fully extended on the neck and the mouth closed [Срок оценки: 1minute]
- Interincisor distance DIstance in centimeters between fornt incisors [Срок оценки: 1minute]
- Upper Lip Bite Test upper lip bite criteria-class I = lower incisors can bite the upper lip above the vermilion line, class II = lower incisors can bite the upper lip below the vermilion line, and class III = lower incisors cannot bite the upper lip [Срок оценки: 1minute]
- neck circumference Using a flexible measuring tape in centimeters, neck circumference at the level of thethyroid cartilage will be measured [Срок оценки: 1minute]
Критерии участия
Критерии включения
- Patients (male or female) ASA I-III, aged between 18 and 90 years, undergoing scheduled surgery requiring orotracheal intubation. The signature of the informed consent is required authorizing its inclusion in the study.
Критерии исключения
- Obesity class II defined as a BMI greater than 35.
- Pregnant.
- Cervical tumors, goiter or patients who have required radiotherapy at the cervical level
- Abnormalities that condition anatomy alterations such as facial / cervical fractures.
- Maxillofacial abnormalities
- People who cannot give their consent
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Дизайн исследования
- Модель наблюдения
- Другое
Центры проведения
Испания · 1 центр
- Clinica Universidad de Navarra — Madrid
Публикации
- Fernandez-Vaquero MA, Oyarzun-Silva R, Hernandez-Hernandez P, Gomez-Rios MA, Petrisor C, Falcetta S, Gomes SH, De Luis-Cabezon N. Airway coach project: development of a machine learning-based model using clinical and ultrasound parameters to support videolaryngoscopy strategy. BMC Anesthesiol. 2026 Jun 18. doi: 10.1186/s12871-026-03943-4. Online ahead of print. PMID 42316024
Идентификаторы
NCT: NCT06925009 · MAFV 1