Status:
UNKNOWN
Validation of Supra-Sternal Tube-Tip Palpation
Lead Sponsor:
University of Ottawa
Conditions:
Tracheal Intubation
Eligibility:
All Genders
1-8 years
Phase:
NA
Brief Summary
Background: The intra-tracheal intubation of a patient is a most delicate medical procedure performed under often life-threatening conditions in in- and out-of-hospital acute care medicine. Correct p...
Eligibility Criteria
Inclusion
- "Primary intubations":
- All infants and children from 1 month of age up to the end of the seventh year of life, who are being intubated for medical reasons on the pediatric intensive care unit (PICU) at the Children's hospital of Eastern Ontario.
- "Secondary intubations":
- All infants and children from 1 month of age up to the end of the seventh year of life already intubated in the PICU at the Children's Hospital of Eastern Ontario, who's tube needs to be exchanged, who's tube needs to be repositioned according a previous x-ray or who's tube needs any other manipulation requiring a post-manipulation chest x-ray.
Exclusion
- "Primary, peracute intubations". Intubations required at once or within a few minutes.
- Anatomical malformation of the child's or infant's airway, lungs or neck.
- Tracheostoma, history of tracheotomy, jugular scars or any other reason that might prevent accurate supra-sternal palpation.
- After placement of the tube according to supra-sternal palpation, any difficulties ventilating the patient or endo-bronchial intubation as per auscultation will lead to placement of the tube according to previously used criteria. The case will be described but the patient excluded from determination of the tube tip placement with x-ray.
- Any case when the study procedures had to be discontinued because the treating physician or RT felt that care could be disrupted by virtue of the study procedures. The case will be described but the patient excluded from determination of the tube tip placement with x-ray.
- Unavailability of an expert in SSTTP at the time point of needed intubation.
- For ethical reasons, we will exclude patients who we know will have a detrimental outcome despite intubation.
Key Trial Info
Start Date :
June 1 2008
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
January 1 2010
Estimated Enrollment :
150 Patients enrolled
Trial Details
Trial ID
NCT00690508
Start Date
June 1 2008
End Date
January 1 2010
Last Update
June 4 2008
Active Locations (1)
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1
Children's Hospital of Eastern Ontario
Ottawa, Ontario, Canada, K1H 8L1