Acoustic Reflection Method and Work of Breathing

NCT ID: NCT00950443

Last Updated: 2011-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

38 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2011-11-30

Brief Summary

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Upper airway obstruction (UAO) is very common in children. Presently, the importance of the UAO is evaluated by the physician during an endoscopic evaluation under general anaesthesia.

The aim of the study is to evaluate two new techniques to quantify the importance of the UAO in children; the acoustic reflection method and the measurement of the work of breathing.

80 children will be included in this monocentric, prospective, open labelled study.

Detailed Description

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The following evaluations will be performed the day prior to the endoscopic evaluation :1) calculation of a clinical score based on the diurnal and nocturnal respiratory and nutritional tolerance of the UAO, 2) evaluation of the importance and the localisation of the UAO assessed by the acoustic reflection method, 3) measurement of the work of breathing, 4) recording of nocturnal gas exchange during at least 6 hours by s single monitor (Sentec™) which measures pulse oximetry (SaO2) and transcutaneous carbon dioxide (PtcCO2), and evaluation of sleep quality by actigraphy (recording of patient's movements by an Actiwatch™).

All the patients will be re-assessed after 3 months. If no treatment is required, a second clinical evaluation with an acoustic reflection examination will be performed. If a surgical treatment or a noninvasive positive pressure ventilation will be necessary, a second complete evaluation will be performed with an endoscopic examination, the calculation of the clinical score, an acoustic reflection examination, the measurement of the work of breathing, and the recording of the nocturnal gas exchange and sleep quality. This second endoscopic examination will be performed only for medical purpose and not for research only.

The study will last 24 months, comprising 21 months for the inclusion of the patients and 3 months for the analysis of the data.

Conditions

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Airway Obstruction

Keywords

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Upper airway obstruction child acoustic reflection method endoscopy work of breathing sleep study CT scan

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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1

Children with upper airway obstruction

Group Type EXPERIMENTAL

Acoustic method and breathing/endoscopic evaluation

Intervention Type DEVICE

Endoscopic evaluation done under general anaesthesia.

2

Children without upper airway obstruction

Group Type ACTIVE_COMPARATOR

Acoustic reflection method

Intervention Type DEVICE

Acoustic reflection gives the longitudinal cross-sectional area profile along airway.Based on planar acoustic wave propagating in a rigid duct connected to airway.

Interventions

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Acoustic reflection method

Acoustic reflection gives the longitudinal cross-sectional area profile along airway.Based on planar acoustic wave propagating in a rigid duct connected to airway.

Intervention Type DEVICE

Acoustic method and breathing/endoscopic evaluation

Endoscopic evaluation done under general anaesthesia.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* children aged 0 to 15 years old,
* in a stable state,
* presenting an UAO which requires an endoscopic evaluation under general anaesthesia
* signed informed consent
* affiliation to french health benefits

Exclusion Criteria

* UAO due solely to a hypertrophy of the adenoids and/or the tonsils,
* patients with a tracheostomy or a non operated cleft palate
Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assistance Publique - Hôpitaux de Paris

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nicolas LEBOULANGER, MD

Role: PRINCIPAL_INVESTIGATOR

Assistance Publique - Hôpitaux de Paris

Locations

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Hospital Armand Trousseau, Pediatric Pulmonology department and ENT department

Paris, , France

Site Status

Countries

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France

Other Identifiers

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P 080606

Identifier Type: -

Identifier Source: org_study_id