NCT03560895已完成不适用
Ultrasonographic Prediction of Actual Tube Size and Performance Characteristics of Cuffed Vs Un-Cuffed Endotracheal Tubes in Pediatric Surgical Patients.
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- The rate of agreement between the reference tube size based on sonographic measurements and the final BEST-FIT ETT
研究概览
简要总结
The aim of this study will be to test the accuracy of Sonography in determining the endotracheal tube size in pediatric patients whether cuffed or un-cuffed.
详细描述
- Children's tracheas have traditionally been intubated with un-cuffed tracheal tubes (TT) due to differences between adult and pediatric sub-glottic anatomy and fears that cuffs may lead to mucosal damage and subglottic stenosis. Despite this, cuffed TTs are increasingly used in pediatric anesthesia. Over the last 20 years, evidence suggests that cuffed TT may have advantages over un-cuffed, and are associated with at least similar, if not superior, airway outcomes when compared with un-cuffed TT in children.
- Formulas based on age and height often fail to reliably predict the proper endotracheal tube (ETT) size in pediatric patients. Visualization of the pediatric subglottic airway diameter by ultrasonography (USG) can enable a practitioner to better predict ETT size, preventing unnecessary tube changes and airway trauma. Also, Visualization of the transvers diameter of epiphyseal end of distal radius by ultrasonography (USG) has been recently investigated and can enable a practitioner to better predict ETT size. Recent reports suggest that the diameter of the subglottic upper airway can be determined by ultrasonography in healthy young adults and pediatric patients . However, the extent to which ultrasonography by these two measurements can predict optimal ETT size in pediatric patients remains under investigation.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 1 Year 至 6 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Weight: 10-30 kg.
- •Age: 1-6 years.
- •Sex: both males and females.
- •ASA physical status: I-II.
- •Operation: elective surgery in which airway management with an endotracheal tube is needed.
排除标准
- •Upper airway malformations.
- •Upper airway surgery.
- •Active respiratory illness (cough, fever, rhinorrhea) on the day of anesthesia,
- •Anticipated difficult airway.
结局指标
主要结局
The rate of agreement between the reference tube size based on sonographic measurements and the final BEST-FIT ETT
时间窗: AT induction of anesthesia
The rate of agreement between the reference tube size based on sonographic measurements and the final BEST-FIT ETT
次要结局
未报告次要终点
研究者
Hala Saad Abdel-Ghaffar
Professor of anesthesia and intensive care, faculty of medicine, Assiut university.
Assiut University
研究点 (1)
Loading locations...
相似试验
已完成
不适用
Ultrasound and Pediatric Endotracheal Tube SizeIntubation With Uncuffed Endotracheal TubeNCT01877980Heidelberg University101
已完成
不适用
Verification of Endotracheal Tube Placement With Ultrasonography (USG)IntubationNCT03081221Cukurova University64
已完成
不适用
Ultrasound Confirmation of Endotracheal Tube Location Using a Saline Filled CuffPediatric Endotracheal Intubation (no Specific Condition)NCT02131974The University of Texas Health Science Center, Houston92
已完成
不适用
3D Airway Model for Pediatric PatientsCongenital Heart DiseaseNCT04814888Pusan National University Yangsan Hospital35
尚未招募
不适用
To choose the correct size of windpipe using ultrasound.CTRI/2022/12/047979Dept of Anaesthesia