Intubation, Endotracheal
Conditions
Keywords
evaluating precision of tube tip position with two methods
Brief summary
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.
Detailed 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).
Interventions
Cuff palpation technique: identification of the cuff position in the trachea by palpation.
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Localisation and precision of the tip of the endotracheal tube (TET) in the trachea | 10 minutes | The study intends to determine the location and precision of the TET within the trachea that results from the use of two techniques. The measurements take place after the induction of the anesthesia and before surgery. |
Countries
Switzerland