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Verification of Appropriate Insertion Depth of Endotracheal Tube Placement

NCT ID: NCT01628978

Last Updated: 2014-11-11

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

UNKNOWN

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-06-30

Study Completion Date

2015-06-30

Brief Summary

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The investigators are trying to evaluate the efficacy of ultrasonographic determination of depth of endotracheal tube placement in infants and young children by using the pleural sliding sign.

Detailed Description

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It is difficult to determine the adequate depth of endotracheal tube placement in infants and young children. It is usually determined by an equation according to the patient's age (12 + age/2, cm) or auscultation method. The auscultation method is to intentionally place the tip of the endotracheal tube into the right main stem bronchus and then withdraw it until breath sounds are equal. The tube is fixed 1 or 2 cm proximal to the point where breath sounds become equal. However, in small children or infant, as the breadth sound in unilateral lung transmits the contralateral lung field and is often difficult to listen in a noisy operation room, it is often difficult to determine the depth by auscultation method. Pleural sliding sign, or sliding lung sign is a ultrasonographic finding that the visceral pleura moves against the parietal pleura. It is used to identify whether the lung is ventilated by ultrasound. The investigators are trying to use this pleural sliding sign to determine the depth of endotracheal tube, and compare this method with auscultation method.

Conditions

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Endotracheal Intubation Infants or Young Children

Study Design

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Study Time Perspective

PROSPECTIVE

Study Groups

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Auscultation group

The depth of endotracheal tube placement is determined by auscultation.

determination by auscultation

Intervention Type OTHER

determination of depth of endotracheal tube placement by auscultation

Ultrasonography group

The depth of placement of endotracheal tube placement is determined by ultrasonographic finding of pleural sliding sign.

determination by ultrasound

Intervention Type OTHER

determination of depth of endotracheal tube placement by ultrasound

Interventions

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determination by auscultation

determination of depth of endotracheal tube placement by auscultation

Intervention Type OTHER

determination by ultrasound

determination of depth of endotracheal tube placement by ultrasound

Intervention Type OTHER

Other Intervention Names

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auscultation H-Universal Stand (sonosite, Bothell, WA, USA)

Eligibility Criteria

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Inclusion Criteria

* Infants or young children (less than body weight of 20 kg) undergoing elective surgery (general surgery, urology, plastic surgery, cardiac surgery) under general anesthesia with endotracheal intubation

Exclusion Criteria

* Patients with pneumothorax, pleural effusion, atelectasis, pneumonia
* hemodynamic unstable patients (inotropics use)
* History of difficult intubation
* Combined upper airway anomaly
Minimum Eligible Age

1 Month

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Sangmin M. Lee

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sangmin M. Lee, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Won Ho Kim, MD

Role: PRINCIPAL_INVESTIGATOR

Samsung Medical Center

Locations

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Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Sangmin M. Lee, MD, PhD

Role: CONTACT

[email protected]
82-2-3410-0362

Won Ho Kim, MD

Role: CONTACT

[email protected]
82-2-3410-1994

Facility Contacts

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Sangmin M. Lee, MD, PhD

Role: primary

[email protected]
82-2-3410-0362

Won Ho Kim, MD

Role: backup

[email protected]
82-2-3410-1994

Other Identifiers

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2012-05-028-001

Identifier Type: -

Identifier Source: org_study_id