Ultrasound assessment of airway difficulties in critically ill preeclamptic patients

the Preoperative Use of Ultrasound in Airway Assessment in Critically Ill Obstetrics With Pre-eclampsia; Comparison Between Two Ultrasound Techniques in Relation to the Standard Clinical Assessment

This study tests if using two or five ultrasound views can better predict airway difficulties during cesarean sections for critically ill pregnant women with preeclampsia compared to standard methods.

Quick facts

• Phase: Not applicable
• Study type: Interventional
• Enrollment: 50 (estimated)
• Sex: Female
• Sponsor: Ain Shams University (Academic / other)
• Locations: 1 site (Cairo, Cairo Governorate)
• Trial ID: NCT06651879 on ClinicalTrials.gov

What this trial studies

This research evaluates the effectiveness of two ultrasound techniques in predicting difficult airway scenarios in critically ill obstetric patients with preeclampsia. It compares the predictivity of using either two or five ultrasound views against traditional clinical assessments. The study aims to enhance patient safety by improving airway management during cesarean sections under general anesthesia. By utilizing ultrasound, the study seeks to provide a more accurate and non-invasive method for assessing airway conditions in this high-risk population.

Who should consider this trial

Good fit: Ideal candidates include critically ill preeclamptic patients aged 18 to 60 who are undergoing cesarean sections under general anesthesia.

Not a fit: Patients with abnormal airway anatomy, maxillofacial anomalies, or those who are unconscious or mentally incapacitated may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could significantly improve airway management and safety for critically ill preeclamptic patients during cesarean sections.

How similar studies have performed: Previous studies have indicated that ultrasound can improve airway assessment, suggesting potential success for this novel approach in obstetric patients.

Eligibility criteria

Inclusion Criteria:Critically ill preeclamptic patients for caesarean section under general anesthesia with the following criteria:

* Aged from 18 to 60 years.
* Singleton or multiple pregnancies,
* Mentally competent.
* American Society of Anesthesiologists (ASA) physical status I, II and III

Exclusion Criteria:

* Patient's Refusal to participate,
* Abnormal pharynx or airway anatomy,
* expected difficult laryngoscopy with cervical spine abnormality,
* Maxillofacial anomalies,
* upper airway diseases or malignancy,
* Unconscious women,
* those with learning difficulties, or mentally handicapped

Where this trial is running

Cairo, Cairo Governorate

• Ain shams university — Cairo, Cairo Governorate, Egypt (Recruiting)

Study contacts

• Study coordinator: wessam selima, MD

Conditions Critical Illness; Difficult; Intubation, Postpartum, During Puerperium; Pre-Eclampsia