Prevention of Endotracheal Tube Migration by Cuff Palpation During Robotic Surgical Procedure

  • STATUS
    Recruiting
  • participants needed
    100
  • sponsor
    Rajiv Gandhi Cancer Institute & Research Center, India
Updated on 5 August 2020

Summary

After intubation, the endotracheal tube was finally fixed after palpating endotracheal cuff at three sites (just below the cricoid cartilage, at suprasternal level and just below suprasternal notch). Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly, after pneumoperitoneum, after trendelenburg position and after making the patient supine at the end of surgery. Change in the distance will be noted.

Description

The endotracheal tube (ETT) will be placed according to the black mark on the tube, post-intubation, the tube will be finally fixed after palpating endotracheal cuff at three sites (below cricoid cartilage, at suprasternal level and just below suprasternal notch). ETT cuff position will be scanned by sonography of airway to confirm the position of the proximal end of the ETT cuff. Fibre optic bronchoscopy will be done to find distance between tip of endotracheal tube and carina. This distance will be measured repeatedly 5 minutes after pneumoperitoneum, 10 minutes after trendelenburg position and 10 minutes after making the patient supine at the end of surgery. Change in the distance will be noted to confirm the migration of ETT.

Details
Condition Robotic Surgical Procedures
Age 18years - 70years
Treatment Three point cuff palpation technique
Clinical Study IdentifierNCT04440787
SponsorRajiv Gandhi Cancer Institute & Research Center, India
Last Modified on5 August 2020

Eligibility

Yes No Not Sure

Inclusion Criteria

Robotic uro-oncological surgical procedures of perineum
Robotic gynae-oncological surgical procedures of perineum

Exclusion Criteria

Upper airway fibrosis or tracheal stenosis
Large neck swelling distorting or deviating the trachea
Head and neck surgeries
Laryngeal and tracheal tumour
Tracheal surgery
Previous tracheostomy
previous radiation treatment of neck
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