Intra-op POCUS for Identification of Endotracheal Tube Position in the Pediatric Population

NCT ID: NCT03031548

Last Updated: 2021-03-15

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

COMPLETED

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-02-16

Study Completion Date

2018-06-30

Brief Summary

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Chest X-ray and/or fluoroscopy is not routinely used in the OR to confirm endotracheal tube (ETT) placement by anesthesiologists. Multiple studies have shown that \~19% of all intubations result in inappropriate ETT placement. An adult study has shown that ultrasound point-of-care is superior to auscultation in determining the location of ETT. This study aims to determine if point-of-care is useful in determining ETT position in children.

Detailed Description

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Patients scheduled to have a procedure in the cardiovascular laboratory where fluoroscopy is routinely used will also undergo a point-of-care ultrasound exam to determine endotracheal tube position. An anesthesiologist will perform the ultrasound exam.

Conditions

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Endotracheal Tube Wrongly Placed During Anesthetic Procedure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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ultrasound exam

Child undergoing procedure in CVL requiring ETT and CXR as standard of care - received point-of-care ultrasound exam as part of the study

Point-of-care ultrasound exam

Intervention Type DEVICE

No intervention

Reposition ETT

Intervention Type RADIATION

ETT will be repositioned based on CXR by fluoroscopy

Interventions

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Point-of-care ultrasound exam

No intervention

Intervention Type DEVICE

Reposition ETT

ETT will be repositioned based on CXR by fluoroscopy

Intervention Type RADIATION

Other Intervention Names

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POC ultrasound

Eligibility Criteria

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Inclusion Criteria

1. children birth to 10 years of age;
2. undergoing cardiac catheterization in the cath lab;
3. general anesthesia with an endotracheal tube;
4. subjects will also receive a chest x-ray as standard of care

Exclusion Criteria

1. children ages birth to 10 years undergoing cardiac catheterization under GA without an endotracheal tube;
2. emergency procedures;
3. known airway anomalies;
4. children who are non-English and non-Spanish speaking -
Minimum Eligible Age

1 Minute

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Loma Linda University

OTHER

Sponsor Role lead

Responsible Party

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Elizabeth Ghazal

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Elizabeth Ghazal, MD

Role: PRINCIPAL_INVESTIGATOR

Loma Linda University Health

Locations

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Loma Linda University Health

Loma Linda, California, United States

Site Status

Loma Linda University Department of Anesthesiology

Loma Linda, California, United States

Site Status

Countries

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United States

Other Identifiers

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5160372

Identifier Type: -

Identifier Source: org_study_id

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