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MAsk VEntilation With Paratracheal Pressure In Children. Para Tracheal Compression to Prevent Gastric Insufflation in Children
Sponsor: University Hospital, Lille
Summary
The use of cricoid pressure to prevent gastric aspiration or regurgitation in case of "full stomach" situation or emergency is still controversial in the adult population. Moreover this maneuver is no more recommended in children by some European pediatric anesthesia societies, because of a lack of evidence of its protective effect against gastric aspiration and its possible adverse effects. A new approach to occlude effectively the esophageal lumen has been recently described in adults and has shown its effectiveness to prevent gastric insufflation. But this maneuver has so far not been evaluated in the pediatric population and could be an alternative to prevent gastro-esophageal regurgitation and pulmonary aspiration in children
Official title: Para Tracheal Compression to Prevent Gastric Insufflation During Positive Pressure Ventilation With Facemask in Children Under General Anaesthesia: an Efficiency Study
Key Details
Gender
All
Age Range
2 Years - 10 Years
Study Type
INTERVENTIONAL
Enrollment
72
Start Date
2024-06-06
Completion Date
2027-06
Last Updated
2025-12-26
Healthy Volunteers
No
Interventions
MAVEPPIC: MAsk VEntilation with Paratracheal Pressure In Children
Pressure will be applied with two fingers in the area located between the trachea and the sternal head of the sternocleidomastoid muscle on the left side to compress the cervical esophagus. The force applied (after measuring the equivalent force applied on a precision scale) will be about 10 - 15 N. This force will be adapted according to the child's body weight : 10 N below 20 kgs and 15 N between 20 kgs and 40 kgs
Locations (2)
Hôpital Jeanne de Flandre - Pôle Anesthésie Réanimation Pédiatrique
Lille, France
Hôpital Jeanne de Flandre - Pôle Anesthésie Réanimation Pédiatrique
Lille, France