Flow-volume loop monitoring in paediatric airway surgery

  • Research type

    Research Study

  • Full title

    Flow-volume loop monitoring in paediatric airway surgery

  • IRAS ID

    169800

  • Contact name

    Vanshree Patel

  • Contact email

    Vanshree.patel@gosh.nhs.uk

  • Duration of Study in the UK

    0 years, 5 months, 30 days

  • Research summary

    The project aims to determine the clinical applicability of observational spirometry data of paediatric patients and to determine its use in monitoring outcomes for patients with airway narrowing (laryngotracheal stenosis).

    We aim to collect non-invasive, observational spirometry data of paediatric patients undergoing diagnostic evaluation of the upper airway, during microlaryngoscopy and/or bronchoscopy. In order to establish an objective method of evaluating airway stenosis in paediatric patients we will initially establish the feasabiliy of capturing spirometry recordings whilst children are self ventilating under general anaesthetic with the Philips Intelview Anaesthetic Lung function module. As such we will identify patients undergoing non-airway related paediatric ENT procedures e.g. myringoplasty or grommet insertion and determine if the module can reliably monitor a self ventilating patient in the perioperative period.

    In paediatric patients (matched for above popualtion via age range and weight), undergoing an airway intervention procedure, we will record spirometry readings immediately pre and postoperatively, to determine specially whether we can determine potential non-invasive quantitative measures of airway stenosis. We will further determine whether this tool is applicable for serial evaluation of airway and correlate it with clinical assessment during bronchoscopy (observational grade of stenosis). We anticipate these findings may provide pilot data towards developing a non-invasive assessment of Laryngotracheal (LT) stenosis in the paediatric population.

  • REC name

    London - Hampstead Research Ethics Committee

  • REC reference

    15/LO/1431

  • Date of REC Opinion

    13 Aug 2015

  • REC opinion

    Favourable Opinion