A Single-center, Prospective Study for Mechanism and Risk Factors of Tracheal Tube-related Tongue Injury
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ClinicalTrials.gov Identifier: NCT05987293 |
Recruitment Status :
Recruiting
First Posted : August 14, 2023
Last Update Posted : October 26, 2023
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Tracking Information | |||||||||||||||||||
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First Submitted Date | August 3, 2023 | ||||||||||||||||||
First Posted Date | August 14, 2023 | ||||||||||||||||||
Last Update Posted Date | October 26, 2023 | ||||||||||||||||||
Actual Study Start Date | October 19, 2023 | ||||||||||||||||||
Estimated Primary Completion Date | July 31, 2025 (Final data collection date for primary outcome measure) | ||||||||||||||||||
Current Primary Outcome Measures |
tracheal tube-related tongue injury [ Time Frame: Starting from the time after surgery till post-operative day 7 (POD7) ] The primary composite endpoint is assessed as incidence of tracheal tube-related tongue injury, which is either the state of severe sore throat (VAS≥4), dysphagia after extubation, or any of the symptoms of macroglossia.
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Original Primary Outcome Measures | Same as current | ||||||||||||||||||
Change History | |||||||||||||||||||
Current Secondary Outcome Measures |
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Original Secondary Outcome Measures | Same as current | ||||||||||||||||||
Current Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||||
Original Other Pre-specified Outcome Measures | Not Provided | ||||||||||||||||||
Descriptive Information | |||||||||||||||||||
Brief Title | A Single-center, Prospective Study for Mechanism and Risk Factors of Tracheal Tube-related Tongue Injury | ||||||||||||||||||
Official Title | Mechanism and Risk Factors of Tracheal Tube-related Tongue Injury | ||||||||||||||||||
Brief Summary | Article Summary
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Detailed Description | Background Tracheal tube-related tongue injury can lead to post-intubation pharyngeal dysfunction, postoperative macroglossia, or stridor after extubation. Possible mechanisms include increased oral pressure, obstruction of venous and lymphatic return in the neck, leading to severe throat pain, dysphagia, and respiratory function impairment. There is a lack of indicators and clinical awareness of this issue. Therefore we have designed this study to accurately monitor the tracheal tube-tongue pressure in different surgical position during general anesthesia. Method This is a prospective, single-center observational study. Fifty-four patients undergoing elective surgery in general anesthesia for more than 2 hours with endotracheal tube applied will be enrolled. Patients will be divided into supine position (Supine group) and the high-risk positions (Flexion group) groups. Dynamic changes in pressure between the tracheal tube and the tongue are measured. All patients will be followed up until 7 days after operation. Primary endpoint is tracheal tube-related tongue injury. Secondary outcomes include the time to first successful recovery of oral intake of fluids and solid food, and airway-related events. Discussion The study aims to explore the risk factors and pressure thresholds for tracheal tracheal tube-related tongue injury. |
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Study Type | Observational | ||||||||||||||||||
Study Design | Observational Model: Cohort Time Perspective: Prospective |
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Target Follow-Up Duration | Not Provided | ||||||||||||||||||
Biospecimen | Not Provided | ||||||||||||||||||
Sampling Method | Probability Sample | ||||||||||||||||||
Study Population | Fifty-four patients undergoing elective surgery in general anesthesia for more than 2 hours with endotracheal tube applied in China-Japan Friendship Hospital will be enrolled (See in Sample Size calculation). Patients will be divided into two groups according to the surgery: supine position (Supine group) and the high-risk positions (Flexion group) which include the prone position, cervical traction position, and beach chair position. Patients with existing oral or airway problems, or other factors influence postoperative recovery of diet will be excluded. | ||||||||||||||||||
Condition | Tracheal Tube-related Tongue Injury | ||||||||||||||||||
Intervention | Device: Tracheal tube-tongue pressure is measured using a computerized occlusal analysis system based on T-Scan® technique, suitable for multi-point real-time monitoring of intraoral pressure.
A flexible film sensor with a thickness of 0.11mm is placed between the tongue and the tracheal tube to measure the distribution, join force and dynamic changes of pressure at different site of the tongue. Five channels of pressure values will be recorded separately: (Ch1) the tip of the tongue, (Ch2) the middle of the tongue, (Ch3) the base of the tongue, (Ch4) the right side at the base of the tongue, (Ch5) the left side at the base of the tongue. The pressure values at the following points during the operation will be recorded: (t1) after intubation, (t2) highest pressure during patient positioning, (t3) after position fixed, (t4) at the end of surgery, (t5) before extubation.
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Study Groups/Cohorts |
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Publications * | Not Provided | ||||||||||||||||||
* Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline. |
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Recruitment Information | |||||||||||||||||||
Recruitment Status | Recruiting | ||||||||||||||||||
Estimated Enrollment |
54 | ||||||||||||||||||
Original Estimated Enrollment | Same as current | ||||||||||||||||||
Estimated Study Completion Date | December 31, 2025 | ||||||||||||||||||
Estimated Primary Completion Date | July 31, 2025 (Final data collection date for primary outcome measure) | ||||||||||||||||||
Eligibility Criteria | Inclusion Criteria:
Exclusion Criteria:
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Sex/Gender |
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Ages | 18 Years to 85 Years (Adult, Older Adult) | ||||||||||||||||||
Accepts Healthy Volunteers | Yes | ||||||||||||||||||
Contacts |
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Listed Location Countries | China | ||||||||||||||||||
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Administrative Information | |||||||||||||||||||
NCT Number | NCT05987293 | ||||||||||||||||||
Other Study ID Numbers | ChinaJapanFHAnesth | ||||||||||||||||||
Has Data Monitoring Committee | Yes | ||||||||||||||||||
U.S. FDA-regulated Product |
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IPD Sharing Statement |
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Current Responsible Party | Li Fang Wang, China-Japan Friendship Hospital | ||||||||||||||||||
Original Responsible Party | Same as current | ||||||||||||||||||
Current Study Sponsor | China-Japan Friendship Hospital | ||||||||||||||||||
Original Study Sponsor | Same as current | ||||||||||||||||||
Collaborators | Not Provided | ||||||||||||||||||
Investigators |
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PRS Account | China-Japan Friendship Hospital | ||||||||||||||||||
Verification Date | October 2023 |