Airway Complication of Anesthesia
Conditions
Brief summary
The goal of these Observational study is to learn about pediatric airway the main question to answer is: 1-Is using point-of-care ultrasound provide an easy, early, and accurate preoperative assessment of the challenging pediatric airway and the endotracheal tube sizing more than traditional methods.
Interventions
DEVICEultrasound device
usage of ultrasound device in pediatric airway asessment
Sponsors
Zagazig University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
1 Years to 4 Years
Healthy volunteers
Yes
Inclusion criteria
* Patient's parents' consent. * Age:from one to 4 years old. * Both sexes (male and female). * BMI with in (5-85%) of body mass index of the child birth of same age and sex. * Physical status: American Society of Anesthesiologists (ASA) physical status I and II. * Type of operation: elective surgery under general anesthesia with endotracheal intubation
Exclusion criteria
* Pre-existing airway malformations or pathology like facial or cervical fracture * Deformity of the airway anatomy \[by masses or tumors\]. * Pathology of the airway \[edema, burn and arthritis\]. * Anticipated difficult airway
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Estimation of tube size using point of care ultrasound compared to age formula in pediatric population | pre induction | estimate tubal size by ultasound parameters;distance from the skin to the anterior part of the trachea at the hyoid level (ANS-hyoid), The Anterior Neck Soft Tissue Thickness at the level of the vocal Cords. (ANS-VC), The pre - epiglottic space (Pre-E ), the distance from the epiglottis to the mid - point of the distance between the vocal cords (E-VC) , The subglottic transverse diameter and compare with age formula in pediatric |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determine the accuracy of point of care ultrasound in assessing challenging pediatric airway | pre induction | determine the accuracy of point of care ultrasound in assessing challenging pediatric airway in correlation to Cormack Lehane grading in pediatric patients |
| Record any obstacles that may interfere with the ultrasound | during opeartion | ● To record any obstacles that may interfere with the ultrasound assessment such as: acoustic, anatomic , optical illusion artifact. |
Countries
Egypt
Contacts
Primary Contactheba elshair, M.B, B.Ch
Backup Contactalshaimaa kamel, MD
Outcome results
None listed