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Ultrasonography in Confirming Proper Position of Endotracheal Tube

Completed
Conditions
Endotracheal Tube Wrongly Placed During Anesthetic Procedure
Interventions
Device: Ultrasonography (Sonosite )
Registration Number
NCT01373437
Lead Sponsor
Mahidol University
Brief Summary

The purpose of this study is to assess the applicability of using ultrasonography in confirmation of the position of the endotracheal tube (ETT) after intubated to patients.

Detailed Description

To assess the applicability of using ultrasonography as compared to routine portable CXR in confirmation of ETT position.

To determine the accuracy of ultrasonography in measuring the depth of ETT as compare to standard CXR method.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
80
Inclusion Criteria
  • age >18 years old with either endotracheal or nasotracheal intubation
  • having normal airway anatomy
  • performed portable CXR after intubation
Exclusion Criteria
  • presence in history of neck radiation, cervical spine immobility/instability
  • unstable vital signs
  • unwilling to participate or denial of informed consent

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
IntubateUltrasonography (Sonosite )-
Primary Outcome Measures
NameTimeMethod
The confirmation of ETT depth1 hour

A transcricothyroid membrane view of the ultrasonography was chosen for confirmation of ETT depth measurement. Firstly, measured the distance from probe (skin) to anterior surface of ETT. Then, measured the distance from probe (skin) to balloon cuff level. Finally the depth of ETT (Distance from vocal cord to balloon cuff) was calculated by using Pythagorus rule.

Secondary Outcome Measures
NameTimeMethod
The confirming the presence of ETT in airway.1 hour

A transcricothyroid membrane view was chosen for confirmation of ETT position. Various glottic structures such as True Vocal Cord (TVC), False Vocal Cord (FVC), and arythenoid cartilage can be visualized.

Trial Locations

Locations (1)

Anesthesiology Department

🇹🇭

Bangkok, Thailand

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