ETT Cuff Leak: TV Ratios
- Conditions
- Surgical Procedures, Operative
- Interventions
- Other: CPAPOther: Tidal volume
- Registration Number
- NCT02768831
- Lead Sponsor
- Nationwide Children's Hospital
- Brief Summary
In the past 5 years cuffed endotracheal tubes (ETT) have become the standard of care in pediatrics. However, hyperinflation of the cuff can compromise the tracheal mucosal perfusion while an inadequate seal may impact ventilation and potentially increase the risk of aspiration. Hence, the goal after placement of a cuffed ETT is to create a safe and effective tracheal seal. The two ways to measure that are to hold CPAP while listening for an audible leak and measuring the difference between the inspired and expired tidal volumes (TV). This is a prospective study to compare these two methods used to create a tracheal seal and measure the intracuff pressure after a satisfactory tracheal seal is established.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 50
- Children who are scheduled to undergo GA with a cuffed ETT in place.
- Any children with pre-existing tracheal/bronchial anomalies, patients with Down syndrome, patients with C-spine issues.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Cuffed ETT Tidal volume - Cuffed ETT CPAP -
- Primary Outcome Measures
Name Time Method Intracuff pressure Immediately following intubation Difference in intracuff pressure measured after inflation with CPAP and inflation with TV.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Nationwide Children's Hospital
🇺🇸Columbus, Ohio, United States