Aspiration, Infant Conditions
Conditions
Brief summary
The investigator aimed to evaluate the effect of ultrasound guided esophageal pressure on the incidence of gastric insufflation during anesthetic induction in infants and small children undergoing general anesthesia.
Detailed description
effect of ultrasound guided esophageal pressure on the incidence of gastric insufflation in children
Interventions
OTHERUS_Eso
After applying ultrasound guided esophageal pressure, the peak inspiratory pressure increased from 10cmH2O to 24cmH2O (increased by 2 cmH2O) during mask ventilation.
Sponsors
Seoul National University Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 2 Years
Healthy volunteers
No
Inclusion criteria
* patients undergoing general anesthesia with endotracheal intubation
Exclusion criteria
* patients with hypertrophic pyloric stenosis * patients with delayed gastric emptying * patients with esophageal stenosis * patients with at risk of gastric aspiration * patients with ileus, hepatomegaly, ascites (cannot visualize gastric antrum with ultrasound)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the incidence of gastric air insufflation | during face mask ventilation, maximum 3 minutes. | the incidence of gastric air insufflation during induction of anesthesia when applying real time ultrasound guided esophageal pressure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gastric insufflation detected by esophageal ultrasound | during face mask ventilation, maximum 3 minutes. | — |
| ventilatory parameters | during face mask ventilation, maximum 3 minutes. | tidal volume, end tidal carbon dioxide, minimal oxygen saturation |
| POGO (percentage of glottic opening) score | during endotracheal intubation, maximum 3 minutes | POGO (percentage of glottic opening, 0-100) score with videolaryngoscope |
| relative position of esophagus with trachea | during anesthetic induction, maximal 3 minutes | — |
Countries
South Korea
Outcome results
None listed