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

Ultrasound Clinical Trial

Official title:

Senior Atending Anesthesiologist

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04479839
• Other study ID #: 1570971
• Status: Completed
• Start date: June 15, 2020
• Est. completion date: September 10, 2020

Study information

• Verified date: July 2021
• Source: Sidra Medical and Research Center
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 80
• Est. completion date: September 10, 2020
• Est. primary completion date: September 10, 2020
• Gender: All
• Age group: N/A to 71 Months

Eligibility

Inclusion Criteria:

• Patients undergoing general anesthesia requiring endotracheal intubation

Exclusion Criteria:

• Patients with any anatomical airway deformity or mass

Related Conditions & MeSH terms

• Cricoid Cartilage
• Endotracheal Tube
• Ultrasound

Intervention

Diagnostic Test:
• Ultrasound of the airway
Placing ultrasound on the neck after intubation

Locations

Country	Name	City	State
Qatar	Sidra Medicine	Doha

Sponsors (1)

Lead Sponsor	Collaborator
Sidra Medical and Research Center

Country where clinical trial is conducted

Qatar, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visualize the saline-filled cuff of the endotracheal tube	The primary objective was to visualize the saline-filled cuff of the endotracheal tube in relation to the cricoid and tracheal rings	3 months