Airway Deadspace
Conditions
Keywords
Ventilation, pediatrics, airway management, respiration
Brief summary
The objective of this study will be to measure the airway deadspace associated with use of appropriately sized an AirQ, a commonly used supraglottic airway in young children weighing between 5 and 20 kg and compare that to the airway deadspace associated with use of an endotracheal tube (ETT) in similarly sized children undergoing controlled ventilation.
Detailed description
There is an increasing interest in the use of supraglottic airway devices in progressively younger and younger patients. One issue that has not been well evaluated is the contribution of these devices to airway dead space in young children and infants. Volumetric capnography is the only non-invasive technology available at the current time to evaluate airway deadspace. Volumetric capnography essentially monitors the flow of CO2 over time and from the expired waveform one can determine different respiratory parameters including dead space. This is clinically important in young children as the clinician begins to evaluate whether or not to use an endotracheal tube or supraglottic airway in these patients. To perform this investigation the study team will use volumetric capnography to examine the airway dead space associated with these devices during and elective general surgery and urologic procedures in healthy children between the ages of 0 and 6 years of age (roughly 5-20 kg). Participants in the study will be given ETT or Air-Q as an intervention, but the investigator does not assign specific interventions to the study participants.
Interventions
None listed
Sponsors
Wake Forest University Health Sciences
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
3 Months to 6 Years
Healthy volunteers
Yes
Inclusion criteria
* Patients between the ages of 3 months and 6 years of age weighing between 5 and 20 kg * Patient presenting outpatient urologic or general surgery
Exclusion criteria
* History of difficult airway/intubation * Patients suspected to have a difficult airway. * Morbid obesity BMI \>39 * Emergency status of surgery * Patients exposed to second hand smoke * Patients with Asthma * Patients with a URI symptom such as nasal drainage, cough, or fever within 7 days of the date of surgery * History of Prematurity
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mean Value of Airway Dead Space | 10 minutes | A mean value observed over the first 10 minutes following placement of the ETT or the AirQ at the beginning of the case will be recorded. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lung Compliance measured by Respironics NM3 respiratory monitors | 10 minutes | The values of lung compliance will be collected and reported. |
| Airway Resistance measured by Respironics NM3 respiratory monitors | 10 minutes | The value of resistance to flow in the airways will be collected and reported |
| Volume of Carbon Dioxide Associated with the Devices | 10 minutes | The volume of carbon dioxide associated with the devices will be recorded and reported. |
Countries
United States
Outcome results
None listed