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A Comparison of Airway Ultrasound and Clinical Parameters for Predicting Difficult Laryngoscopy in the Emergency Department: A Study Protocol

Year: 2024

Type: article

Abstract: BACKGROUND: Airway assessment plays an important part in airway management. Over the years, ultrasound has emerged as an alternative modality for airway assessment. We aim to assess the accuracy of clinical parameters, ultrasonographic upper airway parameters, and laryngoscopic grade, using the Cormack-Lehane classification, to predict difficult laryngoscopy in the emergency department (ED). The primary objective is to determine the accuracy of ultrasonography parameters compared to Cormack-Lehane grading in predicting difficult laryngoscopy in adults. The secondary objective is to assess the accuracy of clinical parameters compared to Cormack-Lehane grading in predicting difficult laryngoscopy in adults. METHODS: A sample of 62 adult patients over 18 years who come to the emergency department and require endotracheal intubation will undergo an ultrasonographic examination of the upper airway. During this examination, an emergency medicine physician will measure the skin-to-epiglottis distance and tongue thickness using the GE Healthcare (Chicago, IL) ultrasound and color Doppler (model: Logic E). RESULTS: The results of the study will be drawn in 2025 upon its completion. CONCLUSIONS: The conclusion will be drawn regarding the correlation between ultrasound parameters and Cormack-Lehane grading and clinical parameters in predicting difficult laryngoscopy.

Source: Cureus

DOI: 10.7759/cureus.69543

Authors: Shubhada Kadadi, Charuta Gadkari, Aditya Pundkar

Institution: Datta Meghe Institute of Higher Education and Research

Language: English

Topic: Airway Management and Intubation Techniques

Subfield: Anesthesiology and Pain Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4402770599