Lateral Positioning for Extubation After Adenotonsillectomy
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-6
SponsorSichuan University
About this trial
The postoperative recovery period following general anesthesia has been associated with a 30%-50% incidence of postoperative respiratory adverse events (PRAEs) in pediatric populations, including laryngospasm, airway obstruction, and hypoxemia. Despite the limited effects of existing pharmacological and operative interventions, positional optimization (e.g., lateral or semirecumbent position) may play a potential role by decreasing airway resistance and improving oxygenation. However, evidence-based evidence for its use in pediatric populations is still lacking, necessitating the urgent need for randomized controlled trials.
Eligibility criteria
Qualifiers
Subjects aged 1-6 years old without gender limit.
Scheduled for an ambulatory adenotonsillectomy under general anesthesia.
American Society of Anesthesiologists (ASA) classification grade I or II.
Informed consent obtained from the patients' parents or legal guardians, who have expressed willingness to cooperate.
Disqualifiers
Presence of concomitant cardiac or pulmonary dysfunction or other significant systemic comorbidities.
History of difficult airway management or congenital/acquired structural anomalies of the airway.
Active respiratory tract infection within 30 days preceding surgery.
Preoperative neurological disorders or developmental abnormalities.
Trial design
Treatments tested in this trial
- lateral postion
- supine position
Treatment groups
350 Participants
are divided into 2 treatment groupsSponsors and collaborators
Source ClinicalTrials.gov