About this trial
This prospective observational study aims to evaluate the relationship between preoperative ultrasonographic airway measurements and the Video-Intubation Difficulty Assessment Classification (VIDIAC) score in adult patients undergoing endotracheal intubation under general anesthesia. The study will investigate whether airway ultrasound parameters can predict difficult videolaryngoscopic intubation and assess their association with the Cormack-Lehane classification, intubation time, and other airway management outcomes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults aged 18 to 80 years.
American Society of Anesthesiologists (ASA) physical status I-III.
Patients scheduled for endotracheal intubation under general anesthesia.
Patients who provide written informed consent.
Disqualifiers
Known airway abnormalities.
Head and neck tumors.
Patients with a tracheostomy.
Pregnant patients.
Trial population
The study population will consist of adult patients aged 18-80 years who are scheduled to undergo elective surgical procedures requiring endotracheal intubation under general anesthesia at Samsun City Hospital. Eligible patients with ASA physical status I-III who provide written informed consent and meet all inclusion criteria will be consecutively enrolled in the study.
Trial design
Other
Other
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
To evaluate the relationship between preoperative ultrasonographic airway measurements and the VIDIAC score.
The relationship between preoperative ultrasonographic airway measurements and the Videolaryngoscopic Intubation and Difficult Airway Classification (VIDIAC) score will be evaluated in adult patients undergoing videolaryngoscopic intubation. The simplified VIDIAC score classifies patients as easy (-1 or 0), moderate (1), hard (2), or severe (≥3), with higher scores indicating greater videolaryngoscopic intubation difficulty. Correlations between ultrasonographic airway measurements and the VIDIAC score will be analyzed.
Secondary outcomes
Incidence of Difficult Videolaryngoscopic Intubation
The incidence of difficult videolaryngoscopic intubation will be determined using the Videolaryngoscopic Intubation and Difficult Airway Classification (VIDIAC) score. The simplified VIDIAC score is classified as follows: easy (-1 or 0), moderate (1), hard (2), and severe (≥3), with higher scores indicating greater videolaryngoscopic intubation difficulty. Patients classified as having difficult videolaryngoscopic intubation according to the predefined VIDIAC criteria will be identified, and the incidence will be calculated.
Cormack-Lehane Grade
The Cormack-Lehane Grading System will be used to assess the laryngeal view obtained during videolaryngoscopic intubation. The scale ranges from Grade I to Grade IV (minimum: Grade I; maximum: Grade IV), where higher grades indicate poorer laryngeal visualization and greater difficulty with tracheal intubation. The recorded grade will be analyzed for its association with preoperative ultrasonographic airway measurements and the VIDIAC score.
Intubation Time
The duration of videolaryngoscopic intubation, measured from insertion of the videolaryngoscope into the oral cavity until successful placement of the endotracheal tube.
First-Attempt Intubation Success Rate
The proportion of patients successfully intubated on the first videolaryngoscopic attempt without the need for additional intubation attempts.
Locations
Sponsors and contacts
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