The Cricoid Pressure in Pediatric Patients
The Cricoid Force Necessary to Occlude the Esophageal Entrance in Pediatric Patients
1 other identifier
interventional
120
1 country
2
Brief Summary
Because the cricoid force in children has not been quantified, clinicians wrongly used the 'adult' force. it has been found that the use of the adult force can result in compression and distortion of the child's airway and can lead to airway obstruction and difficult intubation. Based on known measurements of the cricoid surface area in children, the theoretical forces necessary to occlude the esophageal entrance have been calculated . These forces were found to be much less than the recommended adult force and much less than the forces that distort the airway as reported previously. Based on these theoretical calculations, the current study was performed to determine the effective cricoid force for pediatric groups (group 1 and group 2).
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 Apr 2022
2 active sites
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 9, 2022
CompletedFirst Posted
Study publicly available on registry
March 22, 2022
CompletedStudy Start
First participant enrolled
April 5, 2022
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
October 31, 2023
CompletedMarch 8, 2024
March 1, 2024
1.6 years
February 9, 2022
March 6, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
The Cricoid Force Necessary to occlude the Esophageal Entrance In Pediatric patients
Measuring the cricoid force using Biased Coin Method ( ED90%) in pediatric patients from 3 years up to 14 years using digital device " the Cricometer "
day 1
Study Arms (1)
Pediatric cricoid force
OTHERone arm ( 3 groups)120 pediatric patients
Interventions
Eligibility Criteria
You may qualify if:
- Age : 3-14 years ASA 1,2 Easy Identification cricoid cartilage No contre indication of CP
You may not qualify if:
- ASA 3, 4
- Difficult intubation
- Obese patients
- Contre indication of CP
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Procare Riaya Hospital
Khobar, Eastern Province, 31952, Saudi Arabia
Procare Riaya Hospital
Khobar, Estern, 31952, Saudi Arabia
Related Publications (1)
Zeidan A, Ramez Salem M, Bamadhaj M, Saifan A, Khorasani A, Mazoit JX, Sadek H, Addelaziz A, Bamadhaj N, Knezevic NN. Quantifying the Effective Cricoid Force to Occlude the Esophageal Entrance in Anesthetized and Muscle-Relaxed Children: A Videolaryngoscopy-Based Assessment. Anaesth Crit Care Pain Med. 2025 Nov 7:101674. doi: 10.1016/j.accpm.2025.101674. Online ahead of print.
PMID: 41207374DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Kamal Abdulkhaleq, MD
PRH
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Clinical Professor
Study Record Dates
First Submitted
February 9, 2022
First Posted
March 22, 2022
Study Start
April 5, 2022
Primary Completion
October 30, 2023
Study Completion
October 31, 2023
Last Updated
March 8, 2024
Record last verified: 2024-03