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

Loma Linda University (LLU) logo

Loma Linda University (LLU)

Status

Completed

Conditions

Endotracheal Tube Wrongly Placed During Anesthetic Procedure

Treatments

Device: Point-of-care ultrasound exam
Radiation: Reposition ETT

Study type

Observational

Funder types

Other

Identifiers

NCT03031548
5160372

Details and patient eligibility

About

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.

Full description

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.

Enrollment

50 patients

Sex

All

Ages

1 minute to 10 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

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

Exclusion criteria

  • children ages birth to 10 years undergoing cardiac catheterization under GA without an endotracheal tube;
  • emergency procedures;
  • known airway anomalies;
  • children who are non-English and non-Spanish speaking -

Trial design

50 participants in 1 patient group

ultrasound exam
Description:
Child undergoing procedure in CVL requiring ETT and CXR as standard of care - received point-of-care ultrasound exam as part of the study
Treatment:
Radiation: Reposition ETT
Device: Point-of-care ultrasound exam

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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