Tube Tip Position in Orally Intubated 0-4year Old Children: Assessment of the Precision of Two Clinical Techniques

Study Overview
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Brief Summary
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In pediatric anesthesia it is very important to place the endotracheal tube into the right position. This study compares two clinical location methods. The hypothesis means that the two techniques have the same precision of the location of the tip position of a cuffed MICROCUFF (Kimberly-Clark)endotracheal tube.

Detailed Description
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Appropriate location of the tip of an endotracheal tube (TET), in relation to the carina and vocal cords, is of great importance in pediatric anesthesia. A not optimal laying tube causes life threatening consequences. Therefore, it is very essential to have reliable methods how to place the tube tip in regard of the precision of the localisation. There are no standardized methods how to accomplish a precise position. The study compares two most applied techniques. The first one is the cuff palpation technique (CPT), the second one the deliberate right mainstem intubation technique (RMT).

Official Title
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Endotracheal Tube Tip Position in Orally Intubated 0-4 Year Old Children: Comparative Assessment of the Precision of Two Clinical Techniques

Conditions
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Intubation, Endotracheal

Intervention / Treatment
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* Procedure: Anesthesia induction
* Procedure: Anesthesia induction


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 0-4 years ASA I-II requiring endotracheal tube for surgical/diagnostic procedures Exclusion Criteria: patients with abnormal airway anatomy kyphoscoliosis syndromes known to affect airway anatomy

Ages Eligible for Study
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Minimum Age: 1 Day
Maximum Age: 4 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Cuff palpation technique<br>Cuff palpation by the investigator's finger. | Procedure: Anesthesia induction<br>* Cuff palpation technique: identification of the cuff position in the trachea by palpation.<br>* Other names: Pediatric endotracheal tube. Microcuff, Kimberly-Clark.;|
| Experimental: Withdrawing tube technique<br>Identification of the tube by withdrawing until good quality breath sounds | Procedure: Anesthesia induction<br>* Right mainstem intubation, identification of the tube tip position in the trachea by withdrawing the tube from the right mainstem until good quality breath sound in the left axilla are available.<br>* Other names: Pediatric endotracheal tube, Microcuff, Kimberly-Clark;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Localisation and precision of the tip of the endotracheal tube (TET) in the trachea | The study intends to determine the location and precision of the TET within the trachea that results from the use of two techniques. The measurements take place after the induction of the anesthesia and before surgery. | 10 minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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evaluating precision of tube tip position with two methods