Tube Tip Position in Orally Intubated 0-4year Old Children: Assessment of the Precision of Two Clinical Techniques

Franz Frei

Status: Completed

Conditions: Intubation, Endotracheal

Treatments: Procedure: Anesthesia induction

Study type: Interventional

Funder types: Other

Identifiers

NCT01156233

UKBB_ANA_ TET

Details and patient eligibility

About

In pediatric anesthesia it is very important to place the endotracheal tube into the right position. This study compares two clinical location methods. The hypothesis means that the two techniques have the same precision of the location of the tip position of a cuffed MICROCUFF (Kimberly-Clark)endotracheal tube.

Full description

Appropriate location of the tip of an endotracheal tube (TET), in relation to the carina and vocal cords, is of great importance in pediatric anesthesia. A not optimal laying tube causes life threatening consequences. Therefore, it is very essential to have reliable methods how to place the tube tip in regard of the precision of the localisation. There are no standardized methods how to accomplish a precise position. The study compares two most applied techniques. The first one is the cuff palpation technique (CPT), the second one the deliberate right mainstem intubation technique (RMT).

Enrollment: 69 patients

Sex: All

Ages: 1 day to 4 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 0-4 years
• ASA I-II
• requiring endotracheal tube for surgical/diagnostic procedures

Exclusion criteria

• patients with abnormal airway anatomy
• kyphoscoliosis
• syndromes known to affect airway anatomy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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69 participants in 2 patient groups

Cuff palpation technique

Experimental group

Description:

Cuff palpation by the investigator's finger.

Treatment:

Procedure: Anesthesia induction

Procedure: Anesthesia induction

Withdrawing tube technique

Experimental group

Description:

Identification of the tube by withdrawing until good quality breath sounds

Treatment:

Procedure: Anesthesia induction

Procedure: Anesthesia induction