Pediatric Bronchoscopy and LUS

NCT06658613 | Completed

• 1 other identifier: 09.2024.870
• Study Type: observational
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Rigid bronchoscopy is commonly used for diagnosing and treating lung and airway diseases, including foreign body removal. Patients often experience atelectasis post-procedure, which lung ultrasound (LUS) can effectively detect. LUS is a rapid, noninvasive imaging technique that provides real-time evaluation without the need for patient transportation. In this observational study, researchers will assess the incidence and severity of atelectasis in patients undergoing elective rigid bronchoscopy, comparing those who were intubated and awakened post-procedure with those who were not intubated. The study aims to determine whether intubation influences the development of atelectasis after bronchoscopy.

Conditions

Atelectasis; Atelectasis, Postoperative Pulmonary

Outcome Measures

Primary Outcomes (1)

• Atelectasis

  Lung ultrasound score (LUS) will be used for the detection of atelectasis. Each lung will be evaluated separately and scores will be recorded. Scores will be obtained from 6 regions for each lung (anterior superior/inferior, middle superior/inferior, posterior superior/inferior) for a total of 12 regions for each patient. Scoring will be based on the 'B lines' pattern seen on LUS (B0, B1, B2, B3, indicating progressive atelectasis). A score of 0 to 3 points will be given for each lung field measured, for a total LUS of 0-36.

  From the preinduction period in the operating theater to the postoperative recovery of the patient again in the operating theater.

Study Arms (2)

Group C

Patients not intubated at the end of the bronchoscopy during the neuromuscular block reversal and weaning course.

Group I

Patients intubated at the end of the bronchoscopy during the neuromuscular block reversal and weaning course.

Eligibility Criteria

• Age: 1 Year - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

1-17 year old pediatric patients who will undergo elective rigid bronchoscopy under general anesthesia by the pediatric surgery department at Marmara University Training and Research Hospital.

You may qualify if:

• Elective rigid bronchoscopy
• American Society of Anaesthesiologists (ASA) physical status I or II

You may not qualify if:

• Emergent rigid bronchoscopy
• ASA III or above
• Patients left intubated after the procedure

Sponsors & Collaborators

• Marmara University: lead

Study Sites (1)

Marmara University Pendik Training and Research Hospital

Istanbul, Istanbul, 34899, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Pulmonary Atelectasis

Condition Hierarchy (Ancestors)

Lung Diseases; Respiratory Tract Diseases

Study Officials

• Ruslan Abdullayev

  Marmara University Department of Anesthesiology and Reanimation

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Dr.

Study Record Dates

• First Submitted: October 24, 2024
• First Posted: October 26, 2024
• Study Start: October 25, 2024
• Primary Completion: May 1, 2025
• Study Completion: May 1, 2025
• Last Updated: June 10, 2025

Record last verified: 2024-10

Locations

TU (1)