N/A
N=90
Tracheal Palpation of Sliding Cuff to Assess Endotracheal Tube Location
Anesthesia Intubation Complication
Bottom Line
View on ClinicalTrials.gov: NCT02502461 ↗Enrolled (actual)
90
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcome: Primary: Sore Throat — 1.5; 0.6 units on a scale — p=0.04
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- cuff palpation (Procedure)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Saskatchewan
- Primary completion
- Jul 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Sore Throat |
1.5; 0.6 | 0.04 sig |
| SECONDARY Number of Participants With Correct Depth of Endotracheal Tube in Trachea, |
19; 29 | — |
Summary
Correct endotracheal tube (ETT) placement is important. Proper ETT position is achieved when the distal tip is in mid-trachea with the head in neutral alignment. Unrecognized tube misplacement is an uncommon but significant cause of hypoxemia and death during general anesthesia as well as in the care of critically ill patients.
Hypotheses: A specific manoeuvre to palpate the inflated ETT cuff, with fingers anterior to the trachea, moving the ETT caudally then rostrally following intubation, will enable correct depth placement of the tip of the ETT within the trachea (more than 2.5cm above the carina with cuff below the vocal cords) more frequently than routine care. This will not cause tissue damage as measured by sore throat.
Eligibility Criteria
Inclusion Criteria
- American Society of Anesthesiologists (ASA) Class I and II patients
- ≥18 years of age
- undergoing elective surgical procedures in the Saskatoon acute care hospitals of the Saskatoon Health Region
- requiring endotracheal intubation as a component of the anesthetic plan.
Exclusion Criteria
- those who are physiologically unstable
- when there is urgency to proceed with surgery
- patients requiring rapid sequence induction
- those with respiratory distress
- those for whom the attending anaesthesiologist feels it would compromise safety for any reason.
Data sourced from ClinicalTrials.gov (NCT02502461). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.