Endotracheal Tube Wrongly Placed During Anesthetic Procedure
Conditions
Brief summary
Chest X-ray and/or fluoroscopy is not routinely used in the OR to confirm endotracheal tube (ETT) placement by anesthesiologists. Multiple studies have shown that \ 19% of all intubations result in inappropriate ETT placement. An adult study has shown that ultrasound point-of-care is superior to auscultation in determining the location of ETT. This study aims to determine if point-of-care is useful in determining ETT position in children.
Detailed description
Patients scheduled to have a procedure in the cardiovascular laboratory where fluoroscopy is routinely used will also undergo a point-of-care ultrasound exam to determine endotracheal tube position. An anesthesiologist will perform the ultrasound exam.
Interventions
DEVICEPoint-of-care ultrasound exam
No intervention
RADIATIONReposition ETT
ETT will be repositioned based on CXR by fluoroscopy
Sponsors
Loma Linda University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Minutes to 10 Years
Healthy volunteers
No
Inclusion criteria
1. children birth to 10 years of age; 2. undergoing cardiac catheterization in the cath lab; 3. general anesthesia with an endotracheal tube; 4. subjects will also receive a chest x-ray as standard of care
Exclusion criteria
1. children ages birth to 10 years undergoing cardiac catheterization under GA without an endotracheal tube; 2. emergency procedures; 3. known airway anomalies; 4. children who are non-English and non-Spanish speaking -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Endotracheal Tube Position | through study completion, an average of 1 year | The primary outcome marker for this study was the correlation between the weighted POCUS measurement of TT location and the weighted fluoroscopy measurement of TT location |
Countries
United States
Outcome results
None listed