Factors Associated With Occluding the Upper Esophagus by Paratracheal Force

NCT06210867 — Completed, 170 participants, SMG-SNU Boramae Medical Center

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RegistryNCT06210867
StatusCompleted
Study typeObservational
Enrollment170 (Actual)
SponsorSMG-SNU Boramae Medical Center (Other)
ConditionsIntubation Complication
Datesstart 2023-04-05, primary completion 2024-11-05, completion 2024-11-05, first posted 2024-01-18, last updated 2026-10-21
Locations1 site in South Korea

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-Summary

We aim to identify anatomical factors that affect upper esophageal occlusion during the application of paratracheal pressure.

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+Detailed description

Measure the sternomental distance, thyromental distance, neck length, neck circumference, Mallampati score, BMI, Neck motion, inter-incisor gap, thyrosternal distance. And analysis these factors are associated with upper esophageal occlusion or not.

+Outcome measures

Primary outcomes

  • Successful esophageal occlusion during paratracheal pressure application [10 sec]: Successful esophageal occlusion was defined as the inability to pass an esophageal stethoscope through the esophagus during paratracheal pressure application.

+Eligibility

Sex: All, ages: 19 Years to any

Inclusion Criteria:

* ≥ 19 years old
* schedule for general anesthesia

Exclusion Criteria:

* Abnormality or anomaly, history of surgery in the neck, esophagus, face, upper airway part.
* Who has weak teeth
* Who has pulmonary aspiration risk
* Who has history of carotid artery or cerebrovascular disease

+Locations (1)

FacilityCityCountryStatus
Jin-Young HwangSeoulSouth Korea

+Publications

  • Warner MA, Warner ME, Weber JG. Clinical significance of pulmonary aspiration during the perioperative period. Anesthesiology. 1993 Jan;78(1):56-62. doi: 10.1097/00000542-199301000-00010. PMID 8424572
  • Lienhart A, Auroy Y, Pequignot F, Benhamou D, Warszawski J, Bovet M, Jougla E. Survey of anesthesia-related mortality in France. Anesthesiology. 2006 Dec;105(6):1087-97. doi: 10.1097/00000542-200612000-00008. PMID 17122571
  • Landreau B, Odin I, Nathan N. [Pulmonary aspiration: epidemiology and risk factors]. Ann Fr Anesth Reanim. 2009 Mar;28(3):206-10. doi: 10.1016/j.annfar.2009.01.020. Epub 2009 Mar 21. French. PMID 19304443
  • Van de Putte P, Vernieuwe L, Jerjir A, Verschueren L, Tacken M, Perlas A. When fasted is not empty: a retrospective cohort study of gastric content in fasted surgical patientsdagger. Br J Anaesth. 2017 Mar 1;118(3):363-371. doi: 10.1093/bja/aew435. PMID 28203725
  • Gautier N, Danklou J, Brichant JF, Lopez AM, Vandepitte C, Kuroda MM, Hadzic A, Gautier PE. The effect of force applied to the left paratracheal oesophagus on air entry into the gastric antrum during positive-pressure ventilation using a facemask. Anaesthesia. 2019 Jan;74(1):22-28. doi: 10.1111/anae.14442. Epub 2018 Oct 4. PMID 30288741

+Investigators