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Clinical Trials/NCT06198634
NCT06198634
Not yet recruiting
Not Applicable

Post Intubation Laryngeal Hazards in Children in the Pediatric Intensive Care Unit

Assiut University0 sites30 target enrollmentJanuary 15, 2024

Overview

Phase
Not Applicable
Intervention
Not specified
Conditions
Laryngeal Injury
Sponsor
Assiut University
Enrollment
30
Primary Endpoint
measurement of pediatric post intubation laryngeal lesions
Status
Not yet recruiting
Last Updated
2 years ago

Overview

Brief Summary

this study aims to detect the effect of endotracheal intubation on the larynx of the pediatric population in order to allow early detection of any hazards

Detailed Description

Laryngeal lesions in children can be caused by a number of risk factors, including patient variables (prematurity, cardiac comorbidities), intubation method (in an emergency, by an unskilled team), and endotracheal tube use. (large size, cuffed tube), longer duration of intubation, infection, and insufficient patient sedation are just a few risk factors that can contribute to the development of laryngeal lesions in children. Endoscopic imaging of the larynx is essential in pediatric intubation-related laryngeal injuries since the intensity of symptoms may not necessarily be correlated with the extent of laryngeal injury that is actually present. Therefore, after intubation, we will evaluate neonates, babies, and kids who have laryngeal problems. The flexible fiberoptic nasopharyngo-laryngoscope, or laryngoscopy, is the preferred technique to assess these children's issues and represents a substantial development in the diagnosis of laryngeal pathology in children. As well as rigid bronchoscopy and direct laryngoscopy, under general anesthesia. The risks associated with anesthesia and instrumentation are two key drawbacks of this method. Without transferring to the operating room or requiring general anesthesia, the infant can be assessed in the outpatient clinic. Direct observation of the nasopharynx and larynx in a professional environment

Registry
clinicaltrials.gov
Start Date
January 15, 2024
End Date
January 1, 2026
Last Updated
2 years ago
Study Type
Observational
Sex
All

Investigators

Responsible Party
Principal Investigator
Principal Investigator

Ashrakt Ahmed Mahmoud

principal investigator

Assiut University

Eligibility Criteria

Inclusion Criteria

  • Age: from 2 month to 18 year
  • Gender: both sexes will be included in the study
  • Endotracheal intubation in emergency or elective sitting for 24hr or more

Exclusion Criteria

  • 1-Congenital laryngeal lesions 2-Head and neck surgery 3-CNS infections 4-Craniofacial malformations

Outcomes

Primary Outcomes

measurement of pediatric post intubation laryngeal lesions

Time Frame: 7_10 days post_intubation

measurement of presence or absence of laryngeal lesions (supraglottic,glottic,subglottic) post intubation in pediatrics using fiberoptic naso_pharyngeal_laryngoscopy

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