Reliability of ultrasonogram in confirmation of endotracheal tube placement compared to chest auscultation when performed by anaesthesia residents-a prospective study
试验速览
- 阶段
- 4 期
- 状态
- 尚未招募
- 发起方
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Confirming reliability of USG in determining endotracheal tube position.
研究概览
简要总结
Purpose of research: During intubation endobronchial intubation is the most common malposition encountered. Auscultation shows a sensitivity of only 60% in determining bronchial vs tracheal intubation. Therefore ultrasound which is relatively a new technique for ETT confirmation serves as a real time diagnostic tool with rapid and accurate results.
Design: prospective non randomised controlled trial
Participants: age 3 to 6 years satisfying inclusion criteria
Intervention: intubation done by Anesthesia resident.
Primary anaesthesiologist evaluates breath sounds bilaterally by chest auscultation
Second anaesthesiologist evaluates lung sliding sign using USG
Main outcome measures: primary outcome will be superiority of USG over chest auscultation in confirming endotracheal tube placement. The secondary outcome will be the incidence of oesophageal vs bronchial intubation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 3.00 Year(s) 至 6.00 Year(s)（—）
- 性别
- All
入选标准
- •ASA PS 1,2
- •Paediatric elective surgeries
- •General anaesthesia with endotracheal intubation.
排除标准
- •Children with anticipated difficult airway
- •Risk factors for gastric aspiration
- •Known lung disease.
结局指标
主要结局
Confirming reliability of USG in determining endotracheal tube position.
时间窗: 8 weeks
次要结局
- Incidence of oesophageal and bronchial intubation(8 weeks)