Measurement of the Distance Between the Orifice of the Right Upper Lobe and Carinae and Labium Oris With Fiberoptic Bronchoscopy in Pediatric Population in Turkey
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 299
- 试验地点
- 1
- 主要终点
- Upper/Lower Airway Ratio
研究概览
简要总结
Pediatric patients are exposed to increased risk during general anesthesia. A myriad of problems can be encountered in the pediatric population by misplaced endotracheal tubes. Especially, during one-lung ventilation (OLV) a right-sided or left-sided tube is inserted to facilitate the surgery. However, inadvertent tube use, caused by misinterpretation of the distances of the trachea and the main bronchi, may cause unintended hypoxemia, postoperative atelectasis and even mortality.
In this study, investigators will measure the distance between distal margin of right lung upper lobe orifice-carina and carina-lip with the help of fiberoptic bronchoscopy (FOB).
详细描述
In ASA-PS I-II-III children between 1-18 years of age who are orotracheally intubated for any reason, the fiber optic bronchoscope will be advanced in the tube and first the carina distance and then the carina to right upper bronchus distance will be measured.
Age, weight, height, body mass index (BMI), weight percentile, height percentile, comorbidities, ASA score, tube size, lip margin distance, right upper bronchus to carina distance and right upper lobe to carina distance/ Carina to-lip margin ratio will be recorded.
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 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All patients undergoing general anesthesia via an endotracheal tube
- •ASA I-III
排除标准
- •Patients that do not meet age criteria
- •Uncontrolled asthma or hyper reactive airway
- •hypoxemia, previous thoracic surgery
- •ASA > III
- •Unstable hemodynamics
- •Patients with tracheal or oral malignancies
- •Patients with face trauma
- •Informed consent not given
- •using a tube with a number too small for the fiberoptic bronchoscope to pass through
结局指标
主要结局
Upper/Lower Airway Ratio
时间窗: 1 day
Ratio of the distance between labium oris to carina and carina to right upper lobe orifice
次要结局
- Correlation between patient characteristics and distances measured by FOB(1 day)
研究者
Kadir Melih YILMAZ
Principal Investigator
Istanbul University - Cerrahpasa (IUC)