Assessment of Pediatric Challenging Airway

NCT ID: NCT06443424

Last Updated: 2024-06-28

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

NOT_YET_RECRUITING

Total Enrollment

101 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-25

Study Completion Date

2025-10-01

Brief Summary

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The goal of these Observational study is to learn about pediatric airway the main question to answer is:

1-Is using point-of-care ultrasound provide an easy, early, and accurate preoperative assessment of the challenging pediatric airway and the endotracheal tube sizing more than traditional methods.

Detailed Description

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Conditions

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Airway Complication of Anesthesia

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Interventions

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ultrasound device

usage of ultrasound device in pediatric airway asessment

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Patient's parents' consent.
* Age:from one to 4 years old.
* Both sexes (male and female).
* BMI with in (5-85%) of body mass index of the child birth of same age and sex.
* Physical status: American Society of Anesthesiologists (ASA) physical status I and II.
* Type of operation: elective surgery under general anesthesia with endotracheal intubation

Exclusion Criteria

* Pre-existing airway malformations or pathology like facial or cervical fracture
* Deformity of the airway anatomy \[by masses or tumors\].
* Pathology of the airway \[edema, burn and arthritis\].
* Anticipated difficult airway
Minimum Eligible Age

1 Year

Maximum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Zagazig University

OTHER_GOV

Sponsor Role lead

Responsible Party

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Heba Helmy Elshair

assistant lecturer of Anesthesia, Intensive care and PaiN Managment

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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heba elshair, M.B, B.Ch

Role: PRINCIPAL_INVESTIGATOR

Anesthesia, Intensive care and Pain Managment Department, Faculty of medicine, Zagazig university

Locations

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Faculty of Medicine

Zagazig, Sharqia Province, Egypt

Site Status

Countries

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Egypt

Central Contacts

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heba elshair, M.B, B.Ch

Role: CONTACT

+201064157744 ext. 002

alshaimaa kamel, MD

Role: CONTACT

+201005593169 ext. 002

Facility Contacts

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heba elshair, M.B, B.Ch

Role: primary

+201064157744 ext. 002

References

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Santillanes G, Gausche-Hill M. Pediatric airway management. Emerg Med Clin North Am. 2008 Nov;26(4):961-75, ix. doi: 10.1016/j.emc.2008.08.004.

Reference Type BACKGROUND
PMID: 19059095 (View on PubMed)

Brambrink AM, Braun U. Airway management in infants and children. Best Pract Res Clin Anaesthesiol. 2005 Dec;19(4):675-97. doi: 10.1016/j.bpa.2005.07.002.

Reference Type BACKGROUND
PMID: 16408541 (View on PubMed)

Litman RS, McDonough JM, Marcus CL, Schwartz AR, Ward DS. Upper airway collapsibility in anesthetized children. Anesth Analg. 2006 Mar;102(3):750-4. doi: 10.1213/01.ane.0000197695.24281.df.

Reference Type BACKGROUND
PMID: 16492823 (View on PubMed)

Krishna SG, Bryant JF, Tobias JD. Management of the Difficult Airway in the Pediatric Patient. J Pediatr Intensive Care. 2018 Sep;7(3):115-125. doi: 10.1055/s-0038-1624576. Epub 2018 Jan 28.

Reference Type BACKGROUND
PMID: 31073483 (View on PubMed)

Mirghassemi A, Soltani AE, Abtahi M. Evaluation of laryngoscopic views and related influencing factors in a pediatric population. Paediatr Anaesth. 2011 Jun;21(6):663-7. doi: 10.1111/j.1460-9592.2011.03555.x. Epub 2011 Mar 14.

Reference Type BACKGROUND
PMID: 21401798 (View on PubMed)

Lee SU, Jung JY, Kim DK, Kwak YH, Kwon H, Cho JH, Park JW, Choi YJ. New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images. Emerg Med J. 2018 May;35(5):303-308. doi: 10.1136/emermed-2017-206795. Epub 2018 Feb 6.

Reference Type BACKGROUND
PMID: 29437848 (View on PubMed)

Lin J, Bellinger R, Shedd A, Wolfshohl J, Walker J, Healy J, Taylor J, Chao K, Yen YH, Tzeng CT, Chou EH. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023 Apr 25;13(9):1541. doi: 10.3390/diagnostics13091541.

Reference Type BACKGROUND
PMID: 37174933 (View on PubMed)

Pan S, Lin C, Tsui BCH. Neonatal and paediatric point-of-care ultrasound review. Australas J Ultrasound Med. 2022 Oct 13;26(1):46-58. doi: 10.1002/ajum.12322. eCollection 2023 Feb.

Reference Type BACKGROUND
PMID: 36960139 (View on PubMed)

Sotoodehnia M, Khodayar M, Jalali A, Momeni M, Safaie A, Abdollahi A. Prediction of difficult laryngoscopy / difficult intubation cases using upper airway ultrasound measurements in emergency department: a prospective observational study. BMC Emerg Med. 2023 Jul 25;23(1):78. doi: 10.1186/s12873-023-00852-4.

Reference Type BACKGROUND
PMID: 37491186 (View on PubMed)

Sutagatti JG, Raja R, Kurdi MS. Ultrasonographic Estimation of Endotracheal Tube Size in Paediatric Patients and its Comparison with Physical Indices Based Formulae: A Prospective Study. J Clin Diagn Res. 2017 May;11(5):UC05-UC08. doi: 10.7860/JCDR/2017/25905.9838. Epub 2017 May 1.

Reference Type BACKGROUND
PMID: 28658880 (View on PubMed)

Other Identifiers

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pocus in pediatric airway

Identifier Type: -

Identifier Source: org_study_id

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