Airway Complication of Anesthesia
Conditions
Brief summary
The pediatric airway is known to be more challenging than the adult airway when performing endotracheal intubation. When a patient cannot be ventilated and/or intubated, the guidelines for airway management dictate that a laryngeal mask airway (LMA) be used as a rescue device to oxygenate and ventilate the patient. While an excellent device the LMA is seen as temporary and ultimately needs to be replaced by an endotracheal tube (ETT).
Detailed description
The objective is to study this device in patients with difficult airway to assess the success rate and time to intubation for placing an endotracheal tube using this device.
Interventions
Time from fiberoptic placement onto airway to documentation of end-tidal carbon dioxide waveform through the endotracheal tube.
Sponsors
Study design
Intervention model description
Testing of device for success during endotracheal intubation
Eligibility
Inclusion criteria
* Ages 5-18 years * Requiring intubation * Known difficult airway * LMA placement possible
Exclusion criteria
* Known normal airway * Procedure not requiring endotracheal intubation * Parental refusal * Patient dissent
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall time in the airway | 5 minutes | Time from fiberoptic placement onto airway to documentation of end-tidal carbon dioxide waveform through the endotracheal tube. |
| Total time to intubation | 3 minutes | Time from movement of the device to documentation of end-tidal carbon dioxide waveform through the endotracheal tube. |
Countries
United States