Head Movement Effect on Different Tracheal Tubes
Effect of Head Movement on the Position of Different Tracheal Tubes Determined Radiologically
研究概览
地位
详细说明
An endotracheal tube, which is used to secure the airway and allow ventilation of the lungs during general anesthesia, is inserted into the trachea either through the nose or mouth. In children, different formulae exist to determine the approximate size of the tube according to age, and how far it should be advanced into the airway. Once a tracheal tube is inserted, its position is routinely checked to make sure both lungs are ventilated. To prevent displacement, the tube is taped to the lip, chin or at the nose. However, head movement could cause alteration of the tube position, and risk selective endobronchial intubation or inadvertent extubation. Knowledge of how the different tracheal tubes move with head position can help determine the best tube selection to reduce the risk of accidental tube advancement or removal, in cases where certain head positions are required for surgical access.
The aim of this study is to assess the accuracy of the formulae commonly used in our institution for depth of breathing tube placement, and to measure the degree of tube displacement on head movement with different types of tube. Testing the formulae will enable us to be more aware of how frequently inaccurate tube placement may occur. Knowledge of how the different breathing tubes move with head position can help determine the best tube selection to reduce the risk of the tube going in too far or coming out accidentally, for cases were certain head positions are required for surgery.
研究类型
联系人和位置
学习地点
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Ontario
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Toronto、Ontario、加拿大、M5G 1X8
- The Hospital for Sick Children
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Children undergoing any procedure in the Image Guided Therapy (IGT) department requiring tracheal intubation and chest x-ray
Exclusion Criteria:
- Premature neonates
- Patients with cranio-facial anomalies
- Cervical spine/upper thoracic anomalies
- Laryngomalacia/tracheomalacia
- Chronic hypoxemia (i.e. cardiac conditions with right to left shunts)
- Patients requiring positions other than supine
学习计划
研究是如何设计的?
设计细节
合作者和调查者
调查人员
- 首席研究员:Cengiz Karsli, MD、The Hospital for Sick Children, Toronto Canada
研究记录日期
研究主要日期
学习开始
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
关键字
其他研究编号
- 1000010579
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