US Prediction of Actual Tube Size and Performance Characteristics of Pediatric Cuffed Vs Un-Cuffed ETT.

Study Overview
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Brief Summary
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The aim of this study will be to test the accuracy of Sonography in determining the endotracheal tube size in pediatric patients whether cuffed or un-cuffed.

Detailed Description
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Children's tracheas have traditionally been intubated with un-cuffed tracheal tubes (TT) due to differences between adult and pediatric sub-glottic anatomy and fears that cuffs may lead to mucosal damage and subglottic stenosis. Despite this, cuffed TTs are increasingly used in pediatric anesthesia. Over the last 20 years, evidence suggests that cuffed TT may have advantages over un-cuffed, and are associated with at least similar, if not superior, airway outcomes when compared with un-cuffed TT in children. Formulas based on age and height often fail to reliably predict the proper endotracheal tube (ETT) size in pediatric patients. Visualization of the pediatric subglottic airway diameter by ultrasonography (USG) can enable a practitioner to better predict ETT size, preventing unnecessary tube changes and airway trauma. Also, Visualization of the transvers diameter of epiphyseal end of distal radius by ultrasonography (USG) has been recently investigated and can enable a practitioner to better predict ETT size. Recent reports suggest that the diameter of the subglottic upper airway can be determined by ultrasonography in healthy young adults and pediatric patients . However, the extent to which ultrasonography by these two measurements can predict optimal ETT size in pediatric patients remains under investigation.

Official Title
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Ultrasonographic Prediction of Actual Tube Size and Performance Characteristics of Cuffed Vs Un-Cuffed Endotracheal Tubes in Pediatric Surgical Patients.

Conditions
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Airway Complication of Anesthesia

Intervention / Treatment
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* Device: cuffed endotracheal tube
* Device: Uncuffed endotracheal tube


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Weight: 10-30 kg. Age: 1-6 years. Sex: both males and females. ASA physical status: I-II. Operation: elective surgery in which airway management with an endotracheal tube is needed. Exclusion Criteria: Upper airway malformations. Upper airway surgery. Active respiratory illness (cough, fever, rhinorrhea) on the day of anesthesia, Anticipated difficult airway.

Ages Eligible for Study
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Minimum Age: 1 Year
Maximum Age: 6 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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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Group I<br>Patients will be anesthetized using high-volume low-pressure cuffed endotracheal tube (Flexicare-UK) ) with its outer diameter determined by ultrasonography. | Device: cuffed endotracheal tube<br>* Patients will be anesthetized using high-volume low-pressure cuffed endotracheal tube<br>* Other names: C ETT;|
| Group II<br>Patients will be anesthetized using uncuffed endotracheal tube (Flexicare-UK) with its outer diameter determined by ultrasonography. | Device: Uncuffed endotracheal tube<br>* Patients will be anesthetized using uncuffed endotracheal tube<br>* Other names: ETT;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The rate of agreement between the reference tube size based on sonographic measurements and the final BEST-FIT ETT | The rate of agreement between the reference tube size based on sonographic measurements and the final BEST-FIT ETT | AT induction of anesthesia |