Point of Care Ultrasound to Confirm Endotracheal Tube Cuff Position in Relationship to the Cricoid in Pediatric Population.

NCT ID: NCT04479839

Last Updated: 2021-07-09

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 80 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-06-15
• Study Completion Date: 2020-09-10

Brief Summary

Anatomically, the infra-glottic area (subglottis) and the cricoid ring are the narrowest part of the larynx. In order to limit the incidence of damage related to mucosal pressure injuries from the presence of an endotracheal tube (ETT), the cuff of the ETT should lie below the cricoid in children. Previously, no clinical or imaging method has been used in real time at the bedside to determine the exact location of the ETT cuff after endotracheal intubation. Point-of-care ultrasound (POCUS) may provide an option for a safe and rapid means of visualizing the cuff of the ETT and its relationship to the cricoid ring in real-time thereby allowing ideal ETT positioning.

Detailed Description

Airway below vocal cords until the distal end of the cricoid referred to as subglottis or infraglottis is considered to be the narrowest part of the airway. An optimal endotracheal tube (ETT) placement with cuffed ETT is to ensure the cuff position below the cricoid ring (cuff free glottis): as well have sufficient distance between ETT tip and carina. Various modalities including clinical examination, ETCO2, imaging (X-ray and ultrasound) are routinely used to verify the position and the tip of the ETT in the airway, however verification of the cuff position remains obscure.

Conditions

Endotracheal Tube; Cricoid Cartilage; Ultrasound

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Study Groups

Microcuff ETT

Patients intubated with microcuff ETT

Ultrasound of the airway

Intervention Type: DIAGNOSTIC_TEST

Placing ultrasound on the neck after intubation

Non-microcuff ett

Patients intubated with regular ETT

Ultrasound of the airway

Intervention Type: DIAGNOSTIC_TEST

Placing ultrasound on the neck after intubation

Interventions

Ultrasound of the airway

Placing ultrasound on the neck after intubation

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

• Patients undergoing general anesthesia requiring endotracheal intubation

Exclusion Criteria

• Patients with any anatomical airway deformity or mass

• Minimum Eligible Age: 1 Day
• Maximum Eligible Age: 71 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Sidra Medicine

OTHER

Sponsor Role: lead

Responsible Party

Tariq Wani

Senior attending

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Tariq Wani

Role: PRINCIPAL_INVESTIGATOR

Attending physician

Locations

Sidra Medicine

Doha, , Qatar

Countries

Qatar

Other Identifiers

1570971

Identifier Type: -

Identifier Source: org_study_id