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Thyromental Height Test for Difficult Intubation Prediction in Obese Patients

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Study Aim

This observational study aims to evaluate the effectiveness of the Thyromental Height Test in predicting difficult intubation in obese patients, by measuring the thyromental height and grading the laryngeal view using the Cormack-Lehane Scale during direct laryngoscopy after the induction of general anesthesia.

What is being collected

Data Collection

Collected from today forward - Prospective
Who is being recruted

Body Weight+5

+ Nutrition Disorders

+ Nutritional and Metabolic Diseases

Over 18 Years
+11 Eligibility Criteria
See all eligibility criteria
How is the trial designed

Cohort

Tracking disease incidence in order to identify risk factors and understand disease progression over time.
Observational
Study Start: June 2020
See protocol details

Summary

Principal SponsorMedical University of Silesia
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Study start date: June 1, 2020

Actual date on which the first participant was enrolled.

This study focuses on finding a better way to predict difficult intubation in obese patients undergoing elective surgeries. Intubation, the process of inserting a tube into the windpipe to maintain airflow, can be challenging in obese patients due to anatomical changes caused by excess body weight. Current methods for predicting difficult intubation aren't always accurate, and this study aims to evaluate a new method called the Thyromental Height Test (TMHT). The TMHT measures the distance between the thyroid cartilage and the chin, and it's hoped that this simple, non-invasive test could improve the prediction of difficult intubation, enhancing patient safety during general anesthesia. During the study, participants will undergo routine preoperative anesthetic visits where the TMHT will be measured. After the induction of general anesthesia, a laryngoscopist will grade the laryngeal view using the Cormack-Lehane Scale, which ranges from grade I (fully visible glottis) to grade IV (neither glottis nor epiglottis visible). The primary outcome of the study is to assess the usefulness of the TMHT in predicting difficult intubation. The secondary aim is to evaluate the effectiveness of other commonly used predictive tests for difficult intubation in obese patients.

Official TitleThyromental Height Test as a New Method for Prediction of Difficult Intubation in Obese Patients
Principal SponsorMedical University of Silesia
Last updated: January 28, 2026
Sourced from a government-validated database.Claim as a partner

Protocol

This section provides details of the study plan, including how the study is designed and what the study is measuring.
Design Details

300 patients to be enrolled

Total number of participants that the clinical trial aims to recruit.

Cohort

These studies follow a group of individuals with common characteristics (such as a condition or birth year) over a specific period to study health outcomes or exposures.

Eligibility

Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.
Conditions
Criteria

Any sex

Biological sex of participants that are eligible to enroll.

Over 18 Years

Range of ages for which participants are eligible to join.

Healthy volunteers not allowed

If individuals who are healthy and do not have the condition being studied can participate.

Conditions

Pathology

Body WeightNutrition DisordersNutritional and Metabolic DiseasesObesitySigns and SymptomsPathological Conditions, Signs and SymptomsOvernutritionOverweight

Criteria

4 inclusion criteria required to participate
qualification for elective surgical procedures, requiring general anaesthesia, direct laryngoscopy and intubation

consent for participation in the trail

age ≥18 years

BMI ≥30 kg/m2

7 exclusion criteria prevent from participating
emergency procedures

BMI ≤30 kg/m2

patients overweight due to ascites or tumor

visible anatomic abnormalities

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Study Plan

Find out more about all the medication administered in this study, their detailed description and what they involve.
Study Objectives

Study Objectives

Primary Objectives

Secondary Objectives

Study Centers

These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.

This study has 2 locations

Suspended

Medical University of Gdansk

Gdansk, PolandOpen Medical University of Gdansk in Google Maps
Suspended

Samodzielny Publiczny Szpital Kliniczny nr 1

Zabrze, Poland
Suspended2 Study Centers