Actively Recruiting

Age: 2Years - 18Years
All Genders
Healthy Volunteers
ID06767696

The Effect of Neck Hyperextension on Endotracheal Tube Cuff Pressure in Children

Led by Ankara Ataturk Sanatorium Training and Research Hospital · Updated on 2025-02-07

120

Participants Needed

1

Research Sites

29 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying how the position of the neck during adenoidectomy, tonsillectomy, or adenotonsillectomy surgery affects the pressure of the endotracheal tube (ETT) cuff in children aged 2 to 18 years. The ETT cuff pressure is important for patient safety during surgery under general anesthesia, as improper pressure can lead to complications like air leakage, inaccurate ventilation measurements, or damage to the trachea. The study aims to see if neck hyperextension changes the cuff pressure compared to a neutral head and neck position. The study involves measuring the cuff pressure at three different times using a cuff manometer: first, after intubation with the head and neck in a neutral position; second, after the neck is placed in a hyperextended position for surgery; and third, after returning the neck to neutral following the procedure. The pressure measurements will be taken during the surgery on children undergoing the specified surgical procedures. Standard anesthesia practices will be followed throughout. Participants will be monitored closely during surgery according to standard anesthesia protocols. The main measurement is the ETT cuff pressure recorded intraoperatively three times at specific points related to neck positioning. The study excludes patients with restricted neck mobility, prior neck surgery, or high body mass index (BMI over 35). The total involvement covers the surgical procedure and related monitoring. This observational study helps understand the effect of neck positioning on ETT cuff pressure to improve patient care during pediatric surgeries.

CONDITIONS

Brief Title

Effect of Neck Hyperextension on Endotracheal Tube Cuff Pressure in Children

Who Can Participate

Age: 2Years - 18Years
All Genders
Healthy Volunteers

Eligibility Criteria

Eligible

You may qualify if you...

  • Patients aged 2-18 years
  • Undergoing adenoidectomy, tonsillectomy or adenotonsillectomy surgery
Not Eligible

You will not qualify if you...

  • Patients with restricted head and neck mobility
  • Patients with intraoperative complications
  • Patients with previous neck surgery
  • Patients with body mass index (BMI) greater than 35 kg/m2

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Diagnostic Evaluation

Duration - During surgery

Participants undergo measurements of endotracheal tube cuff pressure at three different time points during surgery: after intubation in neutral position, after neck hyperextension, and after surgery in neutral position.

1 surgical procedure visit

Trial Site Locations

Total: 1 location

1

University of Health Sciences, Ankara Atatürk Sanatorium Training and Research Hospital

Ankara, Keçiören, Turkey (Türkiye), 06290

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Research Team

E

ERBİL TÜRKSAL, Specialist

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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