- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06443424
Assessment of Pediatric Challenging Airway
June 27, 2024 updated by: Heba Helmy Elshair, Zagazig University
Preoperative Assessment of Pediatric Challenging Airway and Endotracheal Tube Sizing Using Point-of-Care Ultrasound Versus Traditional Methods in Elective Surgeries
The goal of these Observational study is to learn about pediatric airway the main question to answer is:
1-Is using point-of-care ultrasound provide an easy, early, and accurate preoperative assessment of the challenging pediatric airway and the endotracheal tube sizing more than traditional methods.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
101
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: heba elshair, M.B, B.Ch
- Phone Number: 002 +201064157744
- Email: hebaelshair558@GMAIL.COM
Study Contact Backup
- Name: alshaimaa kamel, MD
- Phone Number: 002 +201005593169
- Email: Alshimaakamel80@yahoo.com
Study Locations
-
-
Sharkia
-
Zagazig, Sharkia, Egypt, 44511
- Faculty of Medicine
-
Contact:
- heba elshair, M.B, B.Ch
- Phone Number: 002 +201064157744
- Email: hebaelshair558@GMAIL.COM
-
-
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
- Child
Accepts Healthy Volunteers
Yes
Sampling Method
Non-Probability Sample
Study Population
pediatric population
Description
Inclusion Criteria:
- Patient's parents' consent.
- Age:from one to 4 years old.
- Both sexes (male and female).
- BMI with in (5-85%) of body mass index of the child birth of same age and sex.
- Physical status: American Society of Anesthesiologists (ASA) physical status I and II.
- Type of operation: elective surgery under general anesthesia with endotracheal intubation
Exclusion Criteria:
- Pre-existing airway malformations or pathology like facial or cervical fracture
- Deformity of the airway anatomy [by masses or tumors].
- Pathology of the airway [edema, burn and arthritis].
- Anticipated difficult airway
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Estimation of tube size using point of care ultrasound compared to age formula in pediatric population
Time Frame: pre induction
|
estimate tubal size by ultasound parameters;distance from the skin to the anterior part of the trachea at the hyoid level (ANS-hyoid), The Anterior Neck Soft Tissue Thickness at the level of the vocal Cords.
(ANS-VC), The pre - epiglottic space (Pre-E ), the distance from the epiglottis to the mid - point of the distance between the vocal cords (E-VC) , The subglottic transverse diameter and compare with age formula in pediatric
|
pre induction
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Determine the accuracy of point of care ultrasound in assessing challenging pediatric airway
Time Frame: pre induction
|
determine the accuracy of point of care ultrasound in assessing challenging pediatric airway in correlation to Cormack Lehane grading in pediatric patients
|
pre induction
|
|
Record any obstacles that may interfere with the ultrasound
Time Frame: during opeartion
|
● To record any obstacles that may interfere with the ultrasound assessment such as: acoustic, anatomic , optical illusion artifact.
|
during opeartion
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: heba elshair, M.B, B.Ch, Anesthesia, Intensive care and Pain Managment Department, Faculty of medicine, Zagazig university
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Krishna SG, Bryant JF, Tobias JD. Management of the Difficult Airway in the Pediatric Patient. J Pediatr Intensive Care. 2018 Sep;7(3):115-125. doi: 10.1055/s-0038-1624576. Epub 2018 Jan 28.
- Santillanes G, Gausche-Hill M. Pediatric airway management. Emerg Med Clin North Am. 2008 Nov;26(4):961-75, ix. doi: 10.1016/j.emc.2008.08.004.
- Brambrink AM, Braun U. Airway management in infants and children. Best Pract Res Clin Anaesthesiol. 2005 Dec;19(4):675-97. doi: 10.1016/j.bpa.2005.07.002.
- Litman RS, McDonough JM, Marcus CL, Schwartz AR, Ward DS. Upper airway collapsibility in anesthetized children. Anesth Analg. 2006 Mar;102(3):750-4. doi: 10.1213/01.ane.0000197695.24281.df.
- Mirghassemi A, Soltani AE, Abtahi M. Evaluation of laryngoscopic views and related influencing factors in a pediatric population. Paediatr Anaesth. 2011 Jun;21(6):663-7. doi: 10.1111/j.1460-9592.2011.03555.x. Epub 2011 Mar 14.
- Lee SU, Jung JY, Kim DK, Kwak YH, Kwon H, Cho JH, Park JW, Choi YJ. New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images. Emerg Med J. 2018 May;35(5):303-308. doi: 10.1136/emermed-2017-206795. Epub 2018 Feb 6.
- Lin J, Bellinger R, Shedd A, Wolfshohl J, Walker J, Healy J, Taylor J, Chao K, Yen YH, Tzeng CT, Chou EH. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023 Apr 25;13(9):1541. doi: 10.3390/diagnostics13091541.
- Pan S, Lin C, Tsui BCH. Neonatal and paediatric point-of-care ultrasound review. Australas J Ultrasound Med. 2022 Oct 13;26(1):46-58. doi: 10.1002/ajum.12322. eCollection 2023 Feb.
- Sotoodehnia M, Khodayar M, Jalali A, Momeni M, Safaie A, Abdollahi A. Prediction of difficult laryngoscopy / difficult intubation cases using upper airway ultrasound measurements in emergency department: a prospective observational study. BMC Emerg Med. 2023 Jul 25;23(1):78. doi: 10.1186/s12873-023-00852-4.
- Sutagatti JG, Raja R, Kurdi MS. Ultrasonographic Estimation of Endotracheal Tube Size in Paediatric Patients and its Comparison with Physical Indices Based Formulae: A Prospective Study. J Clin Diagn Res. 2017 May;11(5):UC05-UC08. doi: 10.7860/JCDR/2017/25905.9838. Epub 2017 May 1.
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 (Estimated)
July 25, 2024
Primary Completion (Estimated)
January 5, 2025
Study Completion (Estimated)
October 1, 2025
Study Registration Dates
First Submitted
May 30, 2024
First Submitted That Met QC Criteria
May 30, 2024
First Posted (Actual)
June 5, 2024
Study Record Updates
Last Update Posted (Actual)
June 28, 2024
Last Update Submitted That Met QC Criteria
June 27, 2024
Last Verified
June 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- pocus in pediatric airway
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
YES
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
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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