Modified El-Ganzouri Risk Index for Predicting Difficult Intubation in Obese Patients

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age21-65
SponsorZagazig University

About this trial

This observational study aims to compare the predictive performance of the Modified El-Ganzouri Risk Index (MEGRI) incorporating anthropometric ratios with the original El-Ganzouri Risk Index (EGRI) for predicting difficult intubation in obese adult patients undergoing elective general anesthesia.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patient acceptance.

Age: 21-65 years old.

ASA: II,III.

Obese patients (Body Mass Index (BMI) 30-40 kg/m² ) scheduled for elective surgical procedures under general anesthesia

Disqualifiers

Patients undergoing maxillofacial trauma surgery.

Patients with a history of neck surgery or cervical spine instability.

Pregnant patients, and those requiring rapid sequence intubation.

Upper airway pathology or surgery.

Trial population

Age: 21-65 years old.ASA: II,III.Obese patients (Body Mass Index (BMI) 30-40 kg/m² ) scheduled for elective surgical procedures under general anesthesia

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • No intervention

    Other intervention

    This is an observational study. No study intervention is assigned. Patients receive standard anesthetic care, and preoperative airway assessment and intraoperative intubation outcomes are recorded for comparison of the original and Modified El-Ganzouri Risk Index.

Treatment groups

114 Participants
are divided into 1 treatment group
Group A: Obese Adult Patients1 intervention

Trial outcomes

Primary outcomes

1

Area Under the Receiver Operating Characteristic Curve (AUC) of the Modified El-Ganzouri Risk Index for Predicting Difficult Intubation

The predictive performance of the Modified El-Ganzouri Risk Index (MEGRI) for difficult intubation will be evaluated using receiver operating characteristic (ROC) curve analysis and the area under the curve (AUC).

Time frame
From preoperative airway assessment to completion of endotracheal intubation during surgery.

Secondary outcomes

1

Area Under the Receiver Operating Characteristic Curve (AUC) of the Original El-Ganzouri Risk Index for Predicting Difficult Intubation

The predictive performance of the original El-Ganzouri Risk Index (EGRI) for difficult intubation will be evaluated using receiver operating characteristic (ROC) curve analysis and the area under the curve (AUC).

Time frame
From preoperative airway assessment to completion of endotracheal intubation during surgery.

Other outcomes

1

Intubation Difficulty Score (IDS)

The Intubation Difficulty Scale score will be recorded during tracheal intubation. An IDS score greater than 5 will indicate difficult intubation.

Time frame
During endotracheal intubation
2

Sensitivity and Specificity of the Modified and Original El-Ganzouri Risk Indices for Predicting Difficult Intubation

Difficult laryngoscopy will be defined as a Cormack-Lehane grade III or IV laryngeal view.

Time frame
From preoperative airway assessment to completion of endotracheal intubation during surgery

Sponsors and contacts

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