Efficacy of Surface Landmark Palpation for Identification of the Cricoid Cartilage in Obstetric Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Distance between measured Cricoid cartilage (by Assessors) and Ultrasound
研究概览
简要总结
Rapid Sequence Induction (RSI), with cricoid pressure is advocated for all obstetric patients undergoing general anesthesia. Applying cricoid pressure correctly is crucial to prevent aspiration. Using Ultrasound guidance we will be assessing the ability of different disciplines of caregivers to correctly localize the cricoid cartilage in obstetric patients by anatomical landmark palpation.
详细描述
Obstetric patients coming for elective cesarean delivery will be recruited for the study. Informed consent will be obtained from the patient. The participant (anesthesiologist, resident, nurse, or RT) will mark the center of the cricoid cartilage with the patient in the sniffing position, using fluorescent "invisible" ink. Another anesthesiologist who is expert in using ultrasound will find the proximal and distal margins of the cricoid cartilage an will draw a line at the middle of the 2 margins. Evaluation of the participant's assessment will be considered accurate if it falls within 5 mm from the ultrasound's measured line .The assessor will also be asked to score the ease of cricoid cartilage palpation between 1 to 10 using a visual analog scoring (VAS) scale. Total time taken for palpation will also be measured.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Patient 18 years and older
- •ASA 1-2•Having singleton pregnancy.
- •Gestational age >
- •Elective cesarean section
排除标准
- •Patient refusal.
- •Renal failure.
- •Severe preeclampsia.
- •Non- scheduled caesarean delivery (urgent).
- •Twin pregnancy.
结局指标
主要结局
Distance between measured Cricoid cartilage (by Assessors) and Ultrasound
时间窗: 10 minutes
The level of difficulty to locate Cricoid cartilage NRS score
时间窗: 10 minutes
Total time required for assessment
时间窗: 10 seconds
次要结局
未报告次要终点
研究者
Fatemah Qasem
Clinical fellow
Lawson Health Research Institute
