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

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

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

Exclusion criteria

1. children ages birth to 10 years undergoing cardiac catheterization under GA without an endotracheal tube;
2. emergency procedures;
3. known airway anomalies;
4. 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