Tube Tip Position in Orally Intubated 0-4year Old Children: Assessment of the Precision of Two Clinical Techniques

Not Applicable

Completed

• Conditions: Intubation, Endotracheal
• Interventions: Procedure: Anesthesia induction

• Registration Number: NCT01156233
• Lead Sponsor: Franz Frei

Brief Summary

In pediatric anesthesia it is very important to place the endotracheal tube into the right position. This study compares two clinical location methods. The hypothesis means that the two techniques have the same precision of the location of the tip position of a cuffed MICROCUFF (Kimberly-Clark)endotracheal tube.

Detailed Description

Appropriate location of the tip of an endotracheal tube (TET), in relation to the carina and vocal cords, is of great importance in pediatric anesthesia. A not optimal laying tube causes life threatening consequences. Therefore, it is very essential to have reliable methods how to place the tube tip in regard of the precision of the localisation. There are no standardized methods how to accomplish a precise position. The study compares two most applied techniques. The first one is the cuff palpation technique (CPT), the second one the deliberate right mainstem intubation technique (RMT).

Study Timeline

• Study Start: 2010-05
• Study First Submitted: 2010-06-30
• Study First Submitted QC: 2010-07-01
• Study First Posted: 2010-07-02
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Status Verified: 2013-02
• Last Update Submitted: 2013-02-09
• Last Update Posted: 2013-02-12

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 69

Inclusion Criteria

• Age 0-4 years
• ASA I-II
• requiring endotracheal tube for surgical/diagnostic procedures

Exclusion Criteria

• patients with abnormal airway anatomy
• kyphoscoliosis
• syndromes known to affect airway anatomy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Withdrawing tube technique	Anesthesia induction	Identification of the tube by withdrawing until good quality breath sounds
Cuff palpation technique	Anesthesia induction	Cuff palpation by the investigator's finger.

Primary Outcome Measures

Name	Time	Method
Localisation and precision of the tip of the endotracheal tube (TET) in the trachea	10 minutes	The study intends to determine the location and precision of the TET within the trachea that results from the use of two techniques. The measurements take place after the induction of the anesthesia and before surgery.

Trial Locations

Locations (1)

Universitätskinderspital beider Basel; 🇨🇭 Basel, Switzerland