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Trial registered on ANZCTR
Registration number
ACTRN12618000415202
Ethics application status
Approved
Date submitted
17/08/2017
Date registered
21/03/2018
Date last updated
21/03/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Utility of ultrasound assessment for predicting difficult intubation in adult surgical patients.
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Scientific title
Utility of ultrasound assessment for predicting difficult intubation in adult surgical patients - a prospective observational study.
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Secondary ID [1]
292684
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nil known
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Universal Trial Number (UTN)
U1111-1200-9358
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Difficult intubation
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Condition category
Condition code
Anaesthesiology
303763
303763
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0
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Anaesthetics
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
In this prospective observational study we will assess the upper airway of patients presenting for surgery requiring endotracheal intubation in a tertiary hospital for potential difficult airway.
This will be done both clinically and using an M- Turbo SonoSite ultrasound machine. We will measure the hyomental distance in neutral and the hyperextended position and will assess the anterior neck thickness at the level of the hyoid and thyrohoid membrane on the day of surgery before the patients goes to the operating theatre. The approximate duration of the procedure will be less than 10 minutes.
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Intervention code [1]
298917
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Early Detection / Screening
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Comparator / control treatment
no control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Difficult intubation, defined as a Cormac-Lehane grade of 3 and above
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Assessment method [1]
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Timepoint [1]
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The ease or difficulty of managing the patients airway during surgery assessed with a questionnaire specifically designed for this study and completed by the treating anaesthetist at the end of the procedure.
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Secondary outcome [1]
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The correlation of hyomental distance ratio measured via ultrasound to a difficult intubation
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Assessment method [1]
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Timepoint [1]
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On the day of surgery, between 1 and 10hours before intubation
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Secondary outcome [2]
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The correlation of anterior neck thickness at the level of the cricoid ring measured by ultrasound to difficult intubation
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Assessment method [2]
338262
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Timepoint [2]
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Measured 1 - 10 hours before surgery
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Eligibility
Key inclusion criteria
Patient eligible are adult patients requiring endotracheal intubation for surgery at the Lyell McEwin Hospital in Adelaide.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patients will be excluded if they have any abnormalities preventing the use of clinical screening tests (facial fractures, maxillofacial abnormalities, tumors and cervical spine fractures), have a tracheostomy tube, are unable to give consent or will have their airway secured by a method other than with direct laryngoscopy.
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Study design
Purpose
Screening
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Duration
Cross-sectional
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Selection
Random sample
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Timing
Prospective
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Statistical methods / analysis
Data collection will be via a data sheet for each patient. Study data will then be transcribed on an excel spreadsheet for further analyses. Descriptive statistics will be used as appropriate and reported.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
1/01/2016
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Date of last participant enrolment
Anticipated
1/08/2018
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Actual
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Date of last data collection
Anticipated
1/08/2018
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Actual
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Sample size
Target
350
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Accrual to date
100
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment hospital [1]
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Lyell McEwin Hospital - Elizabeth Vale
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Recruitment postcode(s) [1]
16955
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5112 - Elizabeth Vale
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Lyell McEwin Hospital
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Address [1]
297326
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Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country [1]
297326
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Australia
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Primary sponsor type
Individual
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Name
Yasmin Endlich
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Address
Lyell McEwin Hospital
Haydown Road
Elizabeth Vale SA 5112
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
296299
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Country [1]
296299
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298428
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Human Research Ethics Committee (TQEH/LMH/MH) CALHN Research Office
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Ethics committee address [1]
298428
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Ground Floor, Basil Hetzel Institute for Translational Health Research, The Queen Elizabeth Hospital, 28 Woodville Road, Woodville South SA 5011
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Ethics committee country [1]
298428
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Australia
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Date submitted for ethics approval [1]
298428
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20/08/2015
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Approval date [1]
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09/12/2015
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Ethics approval number [1]
298428
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HREC/15/TQEH/181
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Summary
Brief summary
Difficult or failed intubation is a major and life threatening complication that may occur during induction of general anaesthesia. Thorough preoperative airway assessment is an important component of establishing a safe plan to secure patients’ airways perioperatively. Ultrasound technology is rapidly evolving and becoming more accessible as costs decrease and devices become both more portable and user-friendlier. The use of the ultrasound in airway assessment has been described as early as the 1980s, and recently there has been increasing interest in the use of this technology among anaesthetists worldwide. Ultrasound used in conjunction with clinical airway assessment has multiple advantages and there is a rapidly growing body of evidence supporting its use. Ultrasound can be used to view the majority of the upper airway structures, including the mouth, tongue, oropharynx, hypopharynx, hyoid bone, larynx, vocal cords, cartilages, trachea and oesophagus. In this prospective observational study we will assess the upper airway of patients presenting for surgery requiring endotracheal intubation in a tertiary hospital for potential difficult airway. This will be done both clinically and using an M- Turbo SonoSite ultrasound machine. We will measure the hyomental distance in neutral and the hyperextended position and will assess the anterior neck thickness at the level of the hyoid and thyrohoid membrane. Pre operative results and perioperative airway management including any difficulties with intubation will be documented and compared accordingly. The objectives of this study are to determine the utility of the use of the ultrasound to predict a difficult intubation, and examine the association, if any, between ultrasound measurements and difficult airway clinical screening tests.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Yasmin Endlich
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Address
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Royal Adelaide Hospital
Port Road
Adelaide, 5000
South Australia
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Country
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Australia
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Phone
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+61 8 8222 4000
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Yasmin Endlich
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Address
77051
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Royal Adelaide Hospital
Port Road
Adelaide, 5000
South Australia
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Country
77051
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Australia
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Phone
77051
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+61 8 8222 4000
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Fax
77051
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Email
77051
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[email protected]
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Contact person for scientific queries
Name
77052
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Yasmin Endlich
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Address
77052
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Royal Adelaide Hospital
Port Road
Adelaide, 5000
South Australia
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Country
77052
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Australia
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Phone
77052
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+61 8 8222 4000
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Fax
77052
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Email
77052
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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