Trial Outcomes & Findings for The Influence of Endotracheal Tube Design on Fluid Leakage Into the Lungs During Surgery (NCT NCT01539135)

NCT ID: NCT01539135

Last Updated: 2015-08-13

Results Overview

Blue dye will be instilled above the endotracheal tube cuff immediately after intubation where it will remain for the duration of the surgery. The presence of dye leakage past the endotracheal tube cuff will be determined via analysis of bronchoscopic images taken at the end of the surgical procedure when surgical closure has begun.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

80 participants

Primary outcome timeframe

Duration of surgical procedure - from 2 to 12 hours

Results posted on

2015-08-13

Participant Flow

Participant milestones

Participant milestones
Measure
Hi-Lo Endotracheal Tube
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Overall Study
STARTED
43
37
Overall Study
COMPLETED
43
37
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Influence of Endotracheal Tube Design on Fluid Leakage Into the Lungs During Surgery

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hi-Lo Endotracheal Tube
n=43 Participants
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
n=37 Participants
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Total
n=80 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=5 Participants
33 Participants
n=7 Participants
70 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
4 Participants
n=7 Participants
10 Participants
n=5 Participants
Age, Continuous
58.2 years
STANDARD_DEVIATION 12.7 • n=5 Participants
53.5 years
STANDARD_DEVIATION 14.7 • n=7 Participants
56 years
STANDARD_DEVIATION 13.8 • n=5 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
9 Participants
n=7 Participants
25 Participants
n=5 Participants
Sex: Female, Male
Male
27 Participants
n=5 Participants
28 Participants
n=7 Participants
55 Participants
n=5 Participants
Region of Enrollment
United States
43 participants
n=5 Participants
37 participants
n=7 Participants
80 participants
n=5 Participants

PRIMARY outcome

Timeframe: Duration of surgical procedure - from 2 to 12 hours

Blue dye will be instilled above the endotracheal tube cuff immediately after intubation where it will remain for the duration of the surgery. The presence of dye leakage past the endotracheal tube cuff will be determined via analysis of bronchoscopic images taken at the end of the surgical procedure when surgical closure has begun.

Outcome measures

Outcome measures
Measure
Hi-Lo Endotracheal Tube
n=43 Participants
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
n=37 Participants
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Number of Participants With Dye Leakage
3 participants
2 participants

SECONDARY outcome

Timeframe: Time from discharge from PACU to discharge from hospital up to 72 hours

Time of readiness for discharge from PACU, defined as when an Aldrete score of greater than or equal to 8 is given, to the time at which discharge (from the hospital) orders are written. The inpatient period may extend up to 72 hours.

Outcome measures

Outcome measures
Measure
Hi-Lo Endotracheal Tube
n=43 Participants
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
n=37 Participants
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Length of Hospital Stay
42.4 hours
Standard Deviation 19.6
34.9 hours
Standard Deviation 16.7

SECONDARY outcome

Timeframe: Up to 30 days after surgery

Diagnosis of postoperative pneumonia during the 30 day follow up period after surgery

Outcome measures

Outcome measures
Measure
Hi-Lo Endotracheal Tube
n=43 Participants
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
n=37 Participants
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Number of Participants With Postoperative Pneumonia
1 participants
0 participants

SECONDARY outcome

Timeframe: Time from discharge from PACU to discharge from hospital up to 72 hours

Incidence of unscheduled Intensive Care Unit admission after surgery and length of ICU stay if applicable.

Outcome measures

Outcome measures
Measure
Hi-Lo Endotracheal Tube
n=43 Participants
Hi-Lo endotracheal tube with barrel shaped cuff with 20 cc of methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
TaperGuard Endotracheal Tube
n=37 Participants
TaperGuard endotracheal tube with taper shaped cuff with 20 cc methylene blue instilled above the cuff once post intubation for the duration of the surgical procedure Methylene Blue: 20 cc methylene blue instilled above the cuff once after intubation for the duration of the surgical procedure
Number of Participants With Unanticipated Intensive Care Unit Admission
3 participants
3 participants

Adverse Events

Hi-Lo Endotracheal Tube

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

TaperGuard Endotracheal Tube

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Sabrina Bent

Tulane University Hospital and Clinics

Phone: 5049887137

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place