Prevention of Endotracheal Tube Migration by Cuff Palpation During Robotic Surgical Procedure

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

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-12-01

Study Completion Date

2021-03-31

Brief Summary

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After intubation, the endotracheal tube was finally fixed after palpating endotracheal cuff at three sites (just below the cricoid cartilage, at suprasternal level and just below suprasternal notch). Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly, after pneumoperitoneum, after trendelenburg position and after making the patient supine at the end of surgery. Change in the distance will be noted.

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Detailed Description

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The endotracheal tube (ETT) will be placed according to the black mark on the tube, post-intubation, the tube will be finally fixed after palpating endotracheal cuff at three sites (below cricoid cartilage, at suprasternal level and just below suprasternal notch). ETT cuff position will be scanned by sonography of airway to confirm the position of the proximal end of the ETT cuff. Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly 5 minutes after pneumoperitoneum, 10 minutes after trendelenburg position and 10 minutes after making the patient supine at the end of surgery. Change in the distance will be noted to confirm the migration of ETT.

Conditions

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Robotic Surgical Procedures

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Three point cuff palpation and Blck mark line technique

In "Three point cuff palpation technique" the cuff will be palpated just below the cricothyroid membrane,at the level of suprasternal notch and below the suprasternal notchand the tube is re-positioned in case of any discrepancy between the black mark line technique and three point cuff at three different over the trachea.

Three point cuff palpation technique

Intervention Type PROCEDURE

the ETT is finally positioned according to the Three point cuff technique.

Interventions

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Three point cuff palpation technique

the ETT is finally positioned according to the Three point cuff technique.

Intervention Type PROCEDURE

Other Intervention Names

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Black line mark on the endotracheal tube

Eligibility Criteria

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Inclusion Criteria

* Robotic uro-oncological surgical procedures of perineum
* Robotic gynae-oncological surgical procedures of perineum

Exclusion Criteria

* Upper airway fibrosis or tracheal stenosis
* Large neck swelling distorting or deviating the trachea.
* Head and neck surgeries
* Laryngeal and tracheal tumour
* Tracheal surgery
* Previous tracheostomy
* previous radiation treatment of neck

Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes