Ultrasonography of the Neck: The Influence of Airway Devices on Vascular Topography in Pediatric Patients

August 14, 2014 updated by: Menekse Ozcelik, Ankara University
Internal jugular venous catheterization is a challenging procedure in pediatric patients due to small size. Overlapping of the internal jugular vein (IJV) and common carotid artery (CCA) may jeopardize the success and increase the complication rate.However, the use of ultrasound as an assistance tool might be helpful to identify the relationship between the IJV and the CCA. Endotracheal intubation and insertion of laryngeal mask are the common options for the airway management during general anesthesia for central venous catheterization. In this observational study, the investigators aimed to investigate the impact of the laryngeal mask insertion or endotracheal intubation and the role of head rotation on the overlap of the IJV and CCA evaluated with ultrasound in pediatric patients undergoing any kind of surgical procedure.

Study Overview

Status

Completed

Conditions

Study Type

Observational

Enrollment (Actual)

92

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Turkey
      • Ankara, Turkey, 06590
        • Ankara University Department of Anesthesiology and Intensive Care Medicine

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

1 month to 16 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Sampling Method

Non-Probability Sample

Study Population

The pediatric population who were undergone any type of surgery under general anesthesia

Description

Inclusion Criteria:

  • patients with American Society of Anesthesiologist status I-IV

Exclusion Criteria:

  • patients with prior internal jugular vein catheterization or cardiovascular system anomaly

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Observational Models: Cohort
  • Time Perspectives: Cross-Sectional

Cohorts and Interventions

Group / Cohort
endotracheal intubation
laryngeal mask airway

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Primary outcome is the overlap percentages (%) of right and left IJVs before and just after insertion of LMA compared with ETT. Overlap percentage is calculated as overlap of IJV(mm)/carotid artery diameter(mm))*100 obtained from ultrasonographic images.
Time Frame: Obtaining ultrasonographic images takes 30 minutes on average per patient

The airway devices are identified according to the own preference of the responsible anesthesiologist regarding to the patient's status and the type of surgery.

Ultrasonographic images of each patient are recorded bilaterally with a 8-12 MHz linear probe (Venue 40 GE, USA) at the cricoid cartilage level perpendicular to the skin, parallel to mandibula in neutral, 40o and 80o head away position. The same ultrasonographic evaluations are repeated after the airway device insertion. The images are then evaluated by three different anesthesiologist.
Obtaining ultrasonographic images takes 30 minutes on average per patient

Secondary Outcome Measures

Outcome Measure
Time Frame
the relationship between IJV and CCA defined as anterior, anterolateral, lateral, anteromedial and medial according to the IJV's topographic location
Time Frame: Obtaining ultrasonographic images takes 30 minutes on average per patient
Obtaining ultrasonographic images takes 30 minutes on average per patient

Other Outcome Measures

Outcome Measure
Time Frame
the diameter of bilateral IJVs in mm
Time Frame: Obtaining ultrasonographic images takes 30 minutes on average per patient
Obtaining ultrasonographic images takes 30 minutes on average per patient

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Ankara University

Collaborators

Harran University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2011

Primary Completion (Actual)

January 1, 2012

Study Completion (Actual)

January 1, 2012

Study Registration Dates

First Submitted

August 10, 2014

First Submitted That Met QC Criteria

August 14, 2014

First Posted (Estimate)

August 15, 2014

Study Record Updates

Last Update Posted (Estimate)

August 15, 2014

Last Update Submitted That Met QC Criteria

August 14, 2014

Last Verified

August 1, 2014

More Information

Terms related to this study

Other Study ID Numbers

  • 31-662

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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