Robotic Surgical Procedures
Conditions
Keywords
Endotracheal intubation, pneumoperitoneum, trendelenburg position, Robotic surgery
Brief summary
After intubation, the endotracheal tube was finally fixed after palpating endotracheal cuff at three sites (just below the cricoid cartilage, at suprasternal level and just below suprasternal notch). Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly, after pneumoperitoneum, after trendelenburg position and after making the patient supine at the end of surgery. Change in the distance will be noted.
Detailed description
The endotracheal tube (ETT) will be placed according to the black mark on the tube, post-intubation, the tube will be finally fixed after palpating endotracheal cuff at three sites (below cricoid cartilage, at suprasternal level and just below suprasternal notch). ETT cuff position will be scanned by sonography of airway to confirm the position of the proximal end of the ETT cuff. Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly 5 minutes after pneumoperitoneum, 10 minutes after trendelenburg position and 10 minutes after making the patient supine at the end of surgery. Change in the distance will be noted to confirm the migration of ETT.
Interventions
PROCEDUREThree point cuff palpation technique
the ETT is finally positioned according to the Three point cuff technique.
Sponsors
Rajiv Gandhi Cancer Institute & Research Center, India
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* Robotic uro-oncological surgical procedures of perineum * Robotic gynae-oncological surgical procedures of perineum
Exclusion criteria
* Upper airway fibrosis or tracheal stenosis * Large neck swelling distorting or deviating the trachea. * Head and neck surgeries * Laryngeal and tracheal tumour * Tracheal surgery * Previous tracheostomy * previous radiation treatment of neck
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure the distance between tip of endotracheal tube and Carina by fiber-optic bronchoscopy and measuring scale at various phases of robotic surgical procedure. | Throughout robotic surgical procedure, immediately after intubation, 5 minute after pneumoperitoneum, 10 minutes after trendelenburg position and after dedocking and making patient supine.pneumoperitoneum. | proper endotracheal tube placement is labelled when the distance between the tip of tube and Carina is more than 2.5 cm, after placement the tube by three point cuff palpation technique, its position will be assessed at respective time points. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| find the effect of cricod cartilage and supra-sternal distance on endotracheal tube tip to Carina distance. | Throughout robotic surgical procedure, immediately after intubation, 5 minute after pneumoperitoneum, 10 minutes after trendelenburg position and after dedocking and making patient supine. | cricoid cartilage to suprasternal distance changes with the position of neck, so it could affect the distance between the endotracheal tube tip and carina as the position of patient changes during various robotic surgical steps. |
Countries
India
Contacts
Primary ContactAmit Kr Mittal, M.D
Backup ContactMamta Dubey, MD
Outcome results
None listed