Intra-op POCUS for Identification of Endotracheal Tube Position in the Pediatric Population

Status:	Recruiting
Healthy:	No
Age Range:	Any - 10
Updated:	3/16/2019
Start Date:	February 16, 2017
End Date:	March 2020
Contact:	Elizabeth Ghazal, MD
Email:	eghazal@llu.edu
Phone:	909-558-8493

Intraoperative Point-of Care Ultrasound for Identification of Endotracheal Tube Position in the Pediatric Population

Chest X-ray and/or fluoroscopy is not routinely used in the OR to confirm endotracheal tube
(ETT) placement by anesthesiologists. Multiple studies have shown that ~19% of all
intubations result in inappropriate ETT placement. An adult study has shown that ultrasound
point-of-care is superior to auscultation in determining the location of ETT. This study aims
to determine if point-of-care is useful in determining ETT position in children.

Patients scheduled to have a procedure in the cardiovascular laboratory where fluoroscopy is
routinely used will also undergo a point-of-care ultrasound exam to determine endotracheal
tube position. An anesthesiologist will perform the ultrasound exam.

Inclusion Criteria:

1. children birth to 10 years of age;

2. undergoing cardiac catheterization in the cath lab;

3. general anesthesia with an endotracheal tube;

4. subjects will also receive a chest x-ray as standard of care

Exclusion Criteria:

1. children ages birth to 10 years undergoing cardiac catheterization under GA without an
endotracheal tube;

2. emergency procedures;

3. known airway anomalies;

4. children who are non-English and non-Spanish speaking -

We found this trial at

sites

Loma Linda University Department of Anesthesiology

Loma Linda, California 92354

Principal Investigator: Elizabeth Ghazal, MD

from

Loma Linda, CA