ArticleEuropean radiology2023
Effectiveness of ultrasonic measurement for the hyomental distance and distance from skin to epiglottis in predicting difficult laryngoscopy in children.
Article in European radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07444528 (Upper Airway Ultrasound to Predict Difficult Airway Management in Neonates and Infants), which is not on this map. Cited by 10 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Upper Airway Ultrasound to Predict Difficult Airway Management in Neonates and Infants: A Prospective Observational Study
Who cites it
10 citing papers in PubMed, 9 citations in OpenAlex.
- Hyomental distance measured ultrasonography versus weight-based criteria for laryngeal mask size selection in children: a randomized controlled trial.BMC anesthesiology · 2025Trial
- Airway and Endotracheal Tubes: Role of POCUS.Indian journal of pediatrics · 2026Review
- Perioperative POCUS: Technical Considerations and Applications for the Pediatric Anesthesiologist.Journal of clinical medicine · 2026Review
- Ultrasonographic Airway Measurements and Difficult Laryngoscopy in Children Undergoing Adenotonsillectomy: A Prospective Observational Study.Journal of clinical medicine · 2026Article
- Airway Ultrasound: Applications in Pediatric Anesthesiology and Critical Care.Journal of clinical medicine research · 2026Review
- Ultrasonography and a novel combined prediction model for anticipating hypoxemia during painless gastroscopy.Experimental and therapeutic medicine · 2026Article
- Evaluation of difficult laryngoscopy with ultrasonography in pediatric patients: Prospective study.Medicine · 2026Article
- Airway Ultrasound: A Narrative Review of Present Use and Future Applications in Anesthesia.Healthcare (Basel, Switzerland) · 2025Review
- Point-of-care ultrasound for non-vascular invasive procedures in critically ill neonates and children: current status and future perspectives.European journal of pediatrics · 2024Review
- Machine learning-based prediction of difficult laryngoscopy in infants with Pierre Robin sequence using quantitative 3D computed tomography parameters.Frontiers in neurologyArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesStudies have shown that some ultrasonic indicators can predict difficult airways in adults to an extent. However, whether ultrasonic parameters can be used to predict difficult airways in children is unclear. This study investigated the predictive value of several ultrasonic indices for difficult laryngoscopy (DL) in children.
methodsPediatric patients aged 5 to 12 years who underwent endotracheal intubation under general anesthesia were enrolled. The hyomental distance in the extended position (HMDE), tongue thickness, midsagittal tongue cross-sectional area, tongue width, and distance from skin to epiglottis (DSE) were measured by ultrasound before anesthesia. The study end point was DL. The receiver operating characteristic curve was used to evaluate the predictive value of each parameter.
resultsThree hundred and ten children were included in the final analysis, and fifteen (4.8%) children had DL. The shortened HMDE assessed by ultrasound could help identify children aged 5 to 12 years with DL (5-8 years: area under the curve (AUC) 0.74, sensitivity 0.88, specificity 0.60; 9-12 years: AUC 0.72, sensitivity 0.71, specificity 0.83). An increased DSE could help identify children aged 5 to 8 years with DL (AUC 0.76, sensitivity 0.88, specificity 0.69).
conclusionsUltrasonic measurement of the HMDE can be used to predict DL in children aged 5 to 12 years. The DSE measured by ultrasound can be used to predict DL in children aged 5 to 8 years. CLINICAL RELEVANCE STATEMENT: The hyomental distance and the distance from skin to epiglottis measured by ultrasound can be used to predict difficult laryngoscopy in children, which can help reduce serious complications caused by unanticipated difficult airways in children during anesthesia. KEY POINTS: • Ultrasonic measurement of the hyomental distance in the extended position may be an effective predictor of difficult laryngoscopy in children aged 5 to 12 years. • The distance from skin to epiglottis measured by ultrasound can be used to predict difficult laryngoscopy in children aged 5 to 8 years. • Preoperative airway assessment using ultrasound can be effectively applied in children and has a great application prospect.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.