Can a surgical tilt swell the airway? ultrasound study investigates
NCT ID NCT07794917
First seen Aug 31, 2026 · Last updated Sep 01, 2026 · Updated 1 time
Summary
This observational study looks at whether the Trendelenburg position, where the operating table tilts head-down during laparoscopic hysterectomy, is linked to swelling of the upper airway. Researchers measure the airway with bedside ultrasound before and during surgery in women undergoing the procedure under general anesthesia. After surgery, they watch for breathing issues like noisy breathing or low oxygen levels. The study does not assign any treatment; it only observes standard care to see if the position affects airway health.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Trendelenburg positioning during laparoscopic hysterectomy
- What this could lead to
- If a link is found, it could guide anesthesiologists to monitor airway swelling more closely during long surgeries in this position, potentially reducing breathing complications after surgery.
- What could go wrong
- This is a small observational study, so it cannot prove cause and effect. The results may not apply to other surgeries or patient groups, and the measurements may not predict real-world airway problems.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
-
68 people
The number who actually took part.
- Started
-
Feb 2026
- Finished
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May 2026
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult female patients scheduled for elective laparoscopic hysterectomy under general anesthesia at Izmir City Hospital, University of Health Sciences, Izmir, Turkey.
- Ages
-
18 to 65 years
- Sex
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Female participants only
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Female patients aged 18 to 65 years * Scheduled for elective laparoscopic hysterectomy * Planned surgery under general anesthesia * American Society of Anesthesiologists physical status I to III * Body mass index 35 kg/m² or lower * Provided written informed consent for study participation Exclusion Criteria: * Known history of difficult airway or expected difficult airway on preoperative evaluation * Mallampati class III or IV * Congenital or acquired upper airway pathology * Neck mass or previous neck surgery * Body mass index greater than 35 kg/m² * Pregnancy * Emergency surgery * Known chronic respiratory disease, such as chronic obstructive pulmonary disease or advanced asthma * Upper respiratory tract infection within the previous three weeks * Inability to communicate in Turkish * Lack of cooperation * Conversion to open surgery * Requirement for blood transfusion or additional fluid resuscitation beyond the standard protocol * Significant hypotension requiring vasopressor support * Persistent high peak airway pressures with ventilatory difficulty * More than two intubation attempts * Withdrawal from the study Exclusion Criteria: \-
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Izmir City Hospital
Izmir, Turkey (Türkiye)
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Tilt test: does Head-Down position fool anesthesia monitors?