Fiberoptic Intubation in Lateral Versus Supine Position in Pediatrics Undergoing Non-head-and-neck Surgery

Launched by CAIRO UNIVERSITY · Jan 10, 2025

Keywords

ClinConnect Summary

This clinical trial is studying a technique called fiberoptic intubation, which is a way to help patients breathe during surgery. Specifically, the trial looks at how well this method works when children are lying on their sides (lateral position) compared to when they are lying on their backs (supine position). This is important because some children may have difficulties breathing or getting the tube in place while in the lateral position, especially during certain types of surgeries. The goal is to find out if using fiberoptic intubation in the lateral position can help make the process safer and easier for these young patients.

To take part in this study, children between the ages of 2 and 10 who are scheduled for elective non-head-and-neck surgeries may be eligible, as long as they are in generally good health (classified as ASA physical status I and II). However, children with a history of head or neck surgeries, certain congenital issues, or conditions that make intubation difficult will not be included. If they join the trial, participants and their families can expect to be monitored closely during the procedure, and the researchers aim to ensure that the experience is as safe and comfortable as possible. This study is currently recruiting participants, and the findings could help improve airway management techniques for children in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Children aged 2-10 years old.
• • Both genders.
• • ASA physical status I and II.
• • Elective non-head-and-neck surgeries.
• Exclusion Criteria:
• • Refusal of patients.
• • Head and neck surgeries or with history of previous ones.
• • Head, neck and lung congenital deformities or pathologies.
• • Patients with expected difficult intubation (based on examination).
• • Patients with neuromuscular disorders.
• • Hypoxia: defined as low oxygen saturation (SpO2) ≤ 95% on room air.
• • Trauma patients or patients requiring emergency procedures.