跳至主要内容
临床试验/NCT02416219
NCT02416219已完成不适用

Efficacy of Surface Landmark Palpation for Identification of the Cricoid Cartilage in Obstetric Patients

Lawson Health Research Institute1 个研究点 分布在 1 个国家目标入组 90 人开始时间: 2015年5月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
90
试验地点
1
主要终点
Distance between measured Cricoid cartilage (by Assessors) and Ultrasound

研究概览

简要总结

Rapid Sequence Induction (RSI), with cricoid pressure is advocated for all obstetric patients undergoing general anesthesia. Applying cricoid pressure correctly is crucial to prevent aspiration. Using Ultrasound guidance we will be assessing the ability of different disciplines of caregivers to correctly localize the cricoid cartilage in obstetric patients by anatomical landmark palpation.

详细描述

Obstetric patients coming for elective cesarean delivery will be recruited for the study. Informed consent will be obtained from the patient. The participant (anesthesiologist, resident, nurse, or RT) will mark the center of the cricoid cartilage with the patient in the sniffing position, using fluorescent "invisible" ink. Another anesthesiologist who is expert in using ultrasound will find the proximal and distal margins of the cricoid cartilage an will draw a line at the middle of the 2 margins. Evaluation of the participant's assessment will be considered accurate if it falls within 5 mm from the ultrasound's measured line .The assessor will also be asked to score the ease of cricoid cartilage palpation between 1 to 10 using a visual analog scoring (VAS) scale. Total time taken for palpation will also be measured.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • Patient 18 years and older
  • ASA 1-2•Having singleton pregnancy.
  • Gestational age >
  • Elective cesarean section

排除标准

  • Patient refusal.
  • Renal failure.
  • Severe preeclampsia.
  • Non- scheduled caesarean delivery (urgent).
  • Twin pregnancy.

结局指标

主要结局

Distance between measured Cricoid cartilage (by Assessors) and Ultrasound

时间窗: 10 minutes

The level of difficulty to locate Cricoid cartilage NRS score

时间窗: 10 minutes

Total time required for assessment

时间窗: 10 seconds

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Fatemah Qasem

Clinical fellow

Lawson Health Research Institute

研究点 (1)

Loading locations...

相似试验