About this trial
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 criteria
This trial does not accept healthy volunteersQualifiers
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)
Disqualifiers
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
Trial population
The study population consists of pediatric patients aged 0 to 12 years who are scheduled for elective surgery under general anesthesia requiring endotracheal intubation.
Trial design
Cohort
Prospective
Treatments tested in this trial
Preoperative Clinical Airway Assessment
Other interventionPreoperative 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.
Treatment groups
Trial outcomes
Primary outcomes
Difficult Laryngoscopy
Difficult laryngoscopy defined as Cormack-Lehane grade III or IV during laryngoscopy at tracheal intubation.
Secondary outcomes
First-Attempt Intubation Success
Successful tracheal intubation achieved on the first attempt without the need for additional airway devices or techniques.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Diskapi Yildirim Beyazit Education and Research Hospital
Lead sponsor
Ankara Etlik City Hospital
Sponsor institution