Assessment of Pediatric Challenging Airway

NCT06443424 | Not Yet Recruiting

• 1 other identifier: pocus in pediatric airway
• Study Type: observational
• Target: 101
• Locations: 1 country
• Sites: 1

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.

Conditions

Airway Complication of Anesthesia

Outcome Measures

Primary Outcomes (1)

• Estimation of tube size using point of care ultrasound compared to age formula in pediatric population

  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

  pre induction

Secondary Outcomes (2)

• Determine the accuracy of point of care ultrasound in assessing challenging pediatric airway

  pre induction

• Record any obstacles that may interfere with the ultrasound

  during opeartion

Interventions

ultrasound device DEVICE

usage of ultrasound device in pediatric airway asessment

Eligibility Criteria

• Age: 1 Year - 4 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

pediatric population

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Zagazig University: lead

Study Sites (1)

Faculty of Medicine

Zagazig, Sharqia Province, 44511, Egypt

Location

Related Publications (10)

• Santillanes G, Gausche-Hill M. Pediatric airway management. Emerg Med Clin North Am. 2008 Nov;26(4):961-75, ix. doi: 10.1016/j.emc.2008.08.004.

  PMID: 19059095 BACKGROUND

• Brambrink AM, Braun U. Airway management in infants and children. Best Pract Res Clin Anaesthesiol. 2005 Dec;19(4):675-97. doi: 10.1016/j.bpa.2005.07.002.

  PMID: 16408541 BACKGROUND

• Litman RS, McDonough JM, Marcus CL, Schwartz AR, Ward DS. Upper airway collapsibility in anesthetized children. Anesth Analg. 2006 Mar;102(3):750-4. doi: 10.1213/01.ane.0000197695.24281.df.

  PMID: 16492823 BACKGROUND

• Krishna SG, Bryant JF, Tobias JD. Management of the Difficult Airway in the Pediatric Patient. J Pediatr Intensive Care. 2018 Sep;7(3):115-125. doi: 10.1055/s-0038-1624576. Epub 2018 Jan 28.

  PMID: 31073483 BACKGROUND

• Mirghassemi A, Soltani AE, Abtahi M. Evaluation of laryngoscopic views and related influencing factors in a pediatric population. Paediatr Anaesth. 2011 Jun;21(6):663-7. doi: 10.1111/j.1460-9592.2011.03555.x. Epub 2011 Mar 14.

  PMID: 21401798 BACKGROUND

• Lee SU, Jung JY, Kim DK, Kwak YH, Kwon H, Cho JH, Park JW, Choi YJ. New decision formulas for predicting endotracheal tube depth in children: analysis of neck CT images. Emerg Med J. 2018 May;35(5):303-308. doi: 10.1136/emermed-2017-206795. Epub 2018 Feb 6.

  PMID: 29437848 BACKGROUND

• Lin J, Bellinger R, Shedd A, Wolfshohl J, Walker J, Healy J, Taylor J, Chao K, Yen YH, Tzeng CT, Chou EH. Point-of-Care Ultrasound in Airway Evaluation and Management: A Comprehensive Review. Diagnostics (Basel). 2023 Apr 25;13(9):1541. doi: 10.3390/diagnostics13091541.

  PMID: 37174933 BACKGROUND

• Pan S, Lin C, Tsui BCH. Neonatal and paediatric point-of-care ultrasound review. Australas J Ultrasound Med. 2022 Oct 13;26(1):46-58. doi: 10.1002/ajum.12322. eCollection 2023 Feb.

  PMID: 36960139 BACKGROUND

• Sotoodehnia M, Khodayar M, Jalali A, Momeni M, Safaie A, Abdollahi A. Prediction of difficult laryngoscopy / difficult intubation cases using upper airway ultrasound measurements in emergency department: a prospective observational study. BMC Emerg Med. 2023 Jul 25;23(1):78. doi: 10.1186/s12873-023-00852-4.

  PMID: 37491186 BACKGROUND

• Sutagatti JG, Raja R, Kurdi MS. Ultrasonographic Estimation of Endotracheal Tube Size in Paediatric Patients and its Comparison with Physical Indices Based Formulae: A Prospective Study. J Clin Diagn Res. 2017 May;11(5):UC05-UC08. doi: 10.7860/JCDR/2017/25905.9838. Epub 2017 May 1.

  PMID: 28658880 BACKGROUND

MeSH Terms

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• heba elshair, M.B, B.Ch

  Anesthesia, Intensive care and Pain Managment Department, Faculty of medicine, Zagazig university

  PRINCIPAL INVESTIGATOR

Central Study Contacts

heba elshair, M.B, B.Ch

CONTACT

+201064157744; hebaelshair558@gmail.com

alshaimaa kamel, MD

CONTACT

+201005593169; Alshimaakamel80@yahoo.com

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant lecturer of Anesthesia, Intensive care and PaiN Managment

Study Record Dates

• First Submitted: May 30, 2024
• First Posted: June 5, 2024
• Study Start: July 25, 2024
• Primary Completion: January 5, 2025
• Study Completion: October 1, 2025
• Last Updated: June 28, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL

Locations

EG (1)