Health Condition 1: null- Cleft palate undergoing palatoplasty under GA
Conditions
Interventions
Intervention1: MicroCuff Preformed Endotracheal Tube: Size determined by manufacturer recommendations
Control Intervention1: Uncuffed preformed endotracheal tube: Size determination as per Motoyama fo
Sponsors
JIPMER
Eligibility
Inclusion criteria
Inclusion criteria: All ASA 1 and 2 children posted for elective cleft palate surgery
Exclusion criteria
Exclusion criteria: 1. Limited mouth opening ( 2. Anticipated difficult airway in syndromic patients with cleft palate where conventional Macintosh laryngoscopy may not possible. 3. History of recent respiratory tract infection. 4. Evidence of pulmonary diseases (pneumonia, asthma, pulmonary malformation)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ï?§ To compare the tube exchange requirement (once or more than once) and leak pressure ï?§ To determine whether the cuff needs to be inflated in Microcuff tubes (yes/no) ï?§ To determine the cuff position ultrasonographically for Microcuff tubes Timepoint: At time of intubation and immediately after connecting to ventilator, leak pressure will be measured, and tube exchange will be noted. Based on that, cuff will or will not be inflated. Cuff position will be determined by USG after connecting the patient to ventilator | — |
Secondary
| Measure | Time frame |
|---|---|
| assess ventilatory parameters (VTE,PAW, EtCO2,SpO2)Timepoint: at baseline, after extension of the head and after applying the mouth gag;Monitor cuff pressure when anesthesia is maintained with sevoflurane and oxygenTimepoint: at baseline and thereafter every 15 minutes;report associated airway morbidity, if any (airway edema, postoperative sore throat, intra-op extubationTimepoint: intraop and 24h postop;To find evidence of endobronchial intubationTimepoint: immediately following intubation;To measure carina to tube tip distance at neutral position and head extension (by fibreoptic bronchoscopy)Timepoint: following intubation | — |
Countries
India
Contacts
Public ContactDr Rithu Krishna K
JIPMER
Outcome results
None listed