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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.
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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cuff palpation technique | Experimental | Cuff palpation by the investigator's finger. |
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| Withdrawing tube technique | Experimental | Identification of the tube by withdrawing until good quality breath sounds |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anesthesia induction | Procedure | Cuff palpation technique: identification of the cuff position in the trachea by palpation. |
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| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Franz Frei, Professor | University Childrens Hospital beider Basel Postfach CH 4005 Basel | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätskinderspital beider Basel | Basel | Basel | 4005 | Switzerland |
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| Anesthesia induction | Procedure | 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. |
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