Point of Care Ultrasound to Confirm Endotracheal Tube Cuff Position in Relationship to the Cricoid in Pediatric Population.

Anatomically, the infra-glottic area (subglottis) and the cricoid ring are the narrowest part of the larynx. In order to limit the incidence of damage related to mucosal pressure injuries from the presence of an endotracheal tube (ETT), the cuff of the ETT should lie below the cricoid in children. Previously, no clinical or imaging method has been used in real time at the bedside to determine the exact location of the ETT cuff after endotracheal intubation. Point-of-care ultrasound (POCUS) may provide an option for a safe and rapid means of visualizing the cuff of the ETT and its relationship to the cricoid ring in real-time thereby allowing ideal ETT positioning.

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Key information

Conditions

Endotracheal Tube Cricoid Cartilage Ultrasound

Age range

1 day–71 month

Sex eligibility

All sexes

Study type

Observational

Primary location

Sidra Medicine

Doha, 0000, Qatar

About this study

Airway below vocal cords until the distal end of the cricoid referred to as subglottis or infraglottis is considered to be the narrowest part of the airway. An optimal endotracheal tube (ETT) placement with cuffed ETT is to ensure the cuff position below the cricoid ring (cuff free glottis): as well have sufficient distance between ETT tip and carina. Various modalities including clinical examination, ETCO2, imaging (X-ray and ultrasound) are routinely used to verify the position and the tip of the ETT in the airway, however verification of the cuff position remains obscure.

Who can participate

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

Patients undergoing general anesthesia requiring endotracheal intubation

Exclusion criteria

Patients with any anatomical airway deformity or mass

Treatment and study plan

Ultrasound of the airway

Diagnostic Test

Placing ultrasound on the neck after intubation

Primary outcomes

Visualize the saline-filled cuff of the endotracheal tube

Time frame: 3 months

The primary objective was to visualize the saline-filled cuff of the endotracheal tube in relation to the cricoid and tracheal rings

Sponsors and collaborators

Lead sponsor

Sidra Medicine

Other

Registry information

Official study title

Senior Atending Anesthesiologist

Important dates

Study start: 2020
Primary completion: 2020
Study completion: 2020
First posted: Jul 21, 2020
Registry last updated: Jul 9, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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