EVALUATION OF INFLUENCE OF HEAD POSITION VARIATIONS ON THE DEPTH OF ENDOTRACHEAL INTUBATION IN PAEDIATRIC PATIENTS.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- To evaluate the distance between the endotracheal tip and the carina using fibreoptic bronchoscope with flexion and extension of head relative to neutral head position in paediatric patients.
研究概览
简要总结
My study is aimed to evaluate the influence of head position variations on the depth of endotracheal intubation in paediatric patients.
The child will be undergoing a routine detailed pre-anaesthetic check-up. Informed consent and assent will be taken by parents/ guardians . Child will be administered general anaesthesia as per the standard protocol. Endotracheal tube of appropriate size will be inserted to secure the airway and will be fixed according to the precalculated values. A fibreoptic bronchoscope will be introduced to confirm the position of the endotracheal tube when head is 45 degrees flexed, 45 degrees extended and will be repositioned if necessary. Distances between the ETT tip to the carina and vocal cords to the carina will be measured using FOB in neutral, 45°head flexion, 45°head extension . Anaesthesia will be maintained and reversed on discretion of attending anaesthesiologist
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 4.00 Year(s) 至 12.00 Year(s)（—）
- 性别
- All
入选标准
- •The study will include children with ASA I and II status, between the age group of 4 to 12 years, planned for elective surgery under general anaesthesia with endotracheal intubation.
排除标准
- •Patients will be excluded if they presented with:.
- •Patients with limited head and neck movement. 2) Patients with difficult airway and any known or suspected airway anomalies. 3) Patients requiring preformed/ reinforced/ nasal endotracheal tubes.
结局指标
主要结局
To evaluate the distance between the endotracheal tip and the carina using fibreoptic bronchoscope with flexion and extension of head relative to neutral head position in paediatric patients.
时间窗: 5 minutes after intubating the patient.
次要结局
- 1) Correlation of the changes in the depth of endotracheal intubation caused by head position changes with the height of the patient 2) Correlation of the changes in the depth of endotracheal intubation caused by head position changes with the age of the patient .(10 mins after induction)
研究者
Dr Ragini
Vardhman Mahavir Medical College and Safdarjung Hospital