Ultrasound Measurements of Circular Cartilage Transverse Diameter
1 other identifier
interventional
90
1 country
1
Brief Summary
This study with children under 1 age of elective surgery as the research subjects, according to the cross diameter, compared with the traditional method of empirical catheter model, analyze the success rate, completion time of intubation, endotracheal intubation attempts and complications, explore the clinical value of pediatric endotracheal technology, to provide new ideas and methods for clinical practice.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2022
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 28, 2022
CompletedStudy Start
First participant enrolled
March 1, 2022
CompletedFirst Posted
Study publicly available on registry
March 10, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2022
CompletedMarch 10, 2022
March 1, 2022
4 months
February 28, 2022
March 9, 2022
Conditions
Outcome Measures
Primary Outcomes (2)
Success rate of endotracheal intubation
The single success rate of endotracheal intubation between the two groups
24 hours after surgery
The during time of tracheal intubation
Time required for endotracheal intubation
24 hours after surgery
Secondary Outcomes (1)
Complications of endotracheal intubation
24 hours after surgery
Study Arms (2)
Ultrasound group
EXPERIMENTALAnesthesiologist will convenient color ultrasound high frequency 12MHZ array probe perpendicular to the neck, by the glottal down, until the thyroid isthmus, and ring cartilage level, ring cartilage level diameter by ultrasound, to avoid the effect of inspiration and breath on airway diameter, measurement timing should choose after anesthesia induction, mask pressure gas 1min, suspended pressure ventilation for 5s, ultrasonic measurement time is not more than 10s.Repeated measurements were averaged three times, and the maximum outer diameter of the catheter was selected, that is, the maximum outer diameter was selected closest to the measured value.
Control group
NO INTERVENTIONtracheal catheter models are usually selected through traditional experience, according to the age formula in Clinical Anesthesiology, People's Health Press (i. e., 2.5 for preterm infants, 3.5 at 1-6 months, 4.0 at 6-12 months).
Interventions
In the ultrasound group, the catheter type was selected according to the results of ultrasonic measurement of transverse diameter of cricoid cartilage after induction of general anesthesia, and tracheal intubation was performed with ordinary laryngoscope after measurement
Eligibility Criteria
You may qualify if:
- Children under 1 year old who received selective general anesthesia for endotracheal intubation in Shengjing Hospital affiliated to China Medical University.
You may not qualify if:
- Previous history of difficult intubation, or a history of anesthesia-related adverse events.
- There are respiratory anatomical abnormalities, such as cleft lip and palate, throat stenosis, etc
- There are temporomandibular joint lesions, maxillofacial scar contracture, small jaw, etc.
- Limited head and neck activity, such as neck scar contracture, excessive obese neck shortening, cervical trauma or lesion, cervical huge tumor, congenital torticollis, etc.
- There are acute and chronic respiratory diseases, such as respiratory tract infection and bronchial asthma.
- There are diseases affecting laryngeal exposure, such as tonsil hypertrophy, tongue hypertrophy, vocal coral polyps, laryngeal edema.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Junchao Zhu
Shenyang, 110004, China
Study Officials
- PRINCIPAL INVESTIGATOR
Yanchao Yang, PHD
Shengjing Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
February 28, 2022
First Posted
March 10, 2022
Study Start
March 1, 2022
Primary Completion
July 1, 2022
Study Completion
July 1, 2022
Last Updated
March 10, 2022
Record last verified: 2022-03