The comparision of ultrasound measured transverse cricoid diameter and the epiphyseal transverse diameter of the distal radius for predicting the paediatric endotracheal tube size : a prospective randomized study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 232
- 试验地点
- 1
- 主要终点
- The agreement between the reference tube size based on either the US-TCD or the US-EDR and the final BFT.
研究概览
简要总结
The choice of endotracheal tube size in paediatric patients is mostly guided by various formulas that predict the inner diameter of the ET tube whether uncuffed or cuffed based on weight, age, height, and finger size.
Airway ultrasound has recently been identified as an accurate alternative to these formulas. The ultrasound assessment of the transverse cricoid diameter haas been demonstrated to accurately predict the OD of the ETT that best fits the paediatric airway preventing unnecessary tube exchanges with resultant airway edema. The US measured epiphyseal diameter of the distal radius is a recently introduced method as a surrogate for the tracheal diameter.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 盲法
- Participant and Investigator Blinded
入排标准
- 年龄范围
- 2.00 Year(s) 至 12.00 Year(s)（—）
- 性别
- All
入选标准
- •Paediatric patients of ASA physical status 1 and 2
- •Paediatric patients scheduled for surgery under general anaesthesia with endotracheal intubation.
排除标准
- •1.Patients with airway malformations or previous surgery in the upper airway, recent respiratory infections, or illness, and those with an anticipated difficult airway 2.Patients requiring nasotracheal intubation 3.Patients with history of distal radius fracture.
结局指标
主要结局
The agreement between the reference tube size based on either the US-TCD or the US-EDR and the final BFT.
时间窗: IN OPERATION THEATRE (ZERO HOUR)
次要结局
- Tube insertion score (Easy/ easy with leak/ Resistant)(In operation theatre during endotracheal intubation)
- The number of insertion attempts(In operation theatre during endotracheal intubation)
- Endotracheal tube exchanges if any will be recorded(In operation theatre during endotracheal intubation)
研究者
DR SNEHA S
Indira Gandhi Institute of Medical Sciences