"Comparison of Ultrasound Versus Conventional Formula-Based Assessment of Endotracheal Tube Size in Paediatric Patients Undergoing Surgery Under General Anesthesia: A Prospective Randomized Study"
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Dr Sania Rodrigues
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- to determine the appropriateness of the ETT size assessed by ultrasonography as compared to that assessed by the age based Coles formula .
Overview
Brief Summary
This prospective randomized study aims to compare ultrasound-guided assessment with conventional formula-based methods for determining the appropriate endotracheal tube (ETT) size in pediatric patients undergoing surgery under general anesthesia. The primary objective is to evaluate the accuracy of ETT size selection using ultrasonography compared to the age-based Coles formula. Secondary objectives include assessing correlations between ETT size determined by other methods—height-based, age-based, and little finger diameter-based—with findings from ultrasonography and the Coles formula. Key outcomes include first-attempt success rates, intubation time, tube exchanges, and post-operative respiratory complications, providing evidence-based insights for pediatric anesthesia practice.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Masking
- Participant, Investigator, Outcome Assessor and Date-entry Operator Blinded
Eligibility Criteria
- Ages
- 1.00 Year(s) to 6.00 Year(s) (—)
- Sex
- All
Inclusion Criteria
- •American Society of Anesthesiologists Physical Status I and II Inclusion criteria : o Either sex o Patients aged 1-6 years of ASA I or ASA II undergoing surgery under general anesthesia.
Exclusion Criteria
- •Exclusion criteria : o Parental or Guardian refusal o Patient with recent history of upper respiratory infection,any anticipated difficult airway ,any anatomical deformity of upper airway,previous surgery involving upper airway,any obvious scars,mass or ulcer in the neck which may interfere with ultrasound examination.
- •o Age less than 1 year.
Outcomes
Primary Outcomes
to determine the appropriateness of the ETT size assessed by ultrasonography as compared to that assessed by the age based Coles formula .
Time Frame: Baseline
Secondary Outcomes
- To determine whether the other methods to determine(the ETT size ,namely-height based, age based, & little finger diameter based)
Investigators
Sania Rodrigues
Dr. D.Y.Patil Medical College, Hospital and Research Centre