Effect of Neck Hyperextension on Endotracheal Tube Cuff Pressure in Children

Launched by ANKARA ATATURK SANATORIUM TRAINING AND RESEARCH HOSPITAL · Jan 6, 2025

Keywords

ClinConnect Summary

This clinical trial is studying how changing the position of a child's neck during surgery affects the pressure in a special part of the breathing tube called the cuff. The cuff needs to be inflated just right—too little pressure can cause serious problems like breathing difficulties, while too much can harm the throat. The researchers want to find out if stretching the neck back (hyperextension) during surgeries like adenoidectomy or tonsillectomy changes the pressure in the cuff, which is important for keeping the child safe during and after surgery.

To participate in this trial, children between the ages of 2 and 18 who are scheduled for adenoidectomy, tonsillectomy, or a combination of both are eligible. However, children with certain medical conditions or previous neck surgeries won’t be included. If your child participates, they will receive standard care during the operation, and their cuff pressure will be measured in three different positions: when they are first intubated, during the surgery with their neck stretched back, and again after the surgery when they are back in a neutral position. This study is important because it aims to improve our understanding of how to keep the airway safe and effective during surgeries in children.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients aged 2-18 years
• • undergoing adenoidectomy, tonsillectomy or adenotonsillectomy surgery
• Exclusion Criteria:
• • Patients with restricted head and neck mobility,
• • patients with intraoperative complications,
• • patients with previous neck surgery,
• • patients with BMI \> 35 kg/m2