Two Bedside Ultrasound Techniques and Standard Methods for Confirmation of Endotracheal Tube Insertion in Intensive Care Patients

Recruiting

• Conditions: Two Bedside; Intensive Care Patients; Endotracheal Tube; Ultrasound
• Interventions: Device: Ultrasound using suprasternal method; Device: Ultrasound using subxiphoid method

• Registration Number: NCT06510387
• Lead Sponsor: Tanta University

Brief Summary

This cross-sectional observational study aims to predict the sensitivity and specificity of ultrasonography using suprasternal and subxiphoid methods to confirm the correct placement of endotracheal tubes compared to standard methods in intensive care patients.

Detailed Description

Endotracheal intubation is the primary medical procedure used for securing the airway, confirmation of endotracheal tube (ETT) placement is essential to prevent hypoxia and aspiration. The best primary approach to confirm endotracheal tube placement is observation of the tube passage through the vocal cords followed by assessment based on chest and epigastric auscultation.

Ultrasound machines are now increasingly available in emergency departments and intensive care units. It is a non-invasive, portable and serves as a real-time diagnostic tool with rapid and accurate results.

Study Timeline

• Study Start: 2023-10-01
• Status Verified: 2024-07
• Study First Submitted: 2024-07-14
• Study First Submitted QC: 2024-07-14
• Last Update Submitted: 2024-07-14
• Study First Posted: 2024-07-19
• Last Update Posted: 2024-07-19
• Primary Completion: 2024-09-01
• Study Completion: 2024-09-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Patients > 18 years old.
• Both sex.
• All patients requiring prophylactic airway management e.g (patient with Glasgow Coma Scale <8) with endotracheal intubation in the intensive care unit.

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Exclusion Criteria

• An abnormal airway anatomy.
• Tracheal or endobronchial lesion.
• Significant cervical trauma.
• Cervical abnormality.
• Neck swelling.
• Patients who need cardiopulmonary resuscitation.

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Correct placement group	Ultrasound using subxiphoid method	The research resident will perform ultrasonography using suprasternal and subxiphoid methods to confirm the correct placement of the endotracheal tube.
Correct placement group	Ultrasound using suprasternal method	The research resident will perform ultrasonography using suprasternal and subxiphoid methods to confirm the correct placement of the endotracheal tube.
Incorrect placement group	Ultrasound using subxiphoid method	The research resident will perform ultrasonography using suprasternal and subxiphoid methods.
Incorrect placement group	Ultrasound using suprasternal method	The research resident will perform ultrasonography using suprasternal and subxiphoid methods.

Primary Outcome Measures

Name	Time	Method
Accuracy to predict correct placement	5 minutes after placement of endotracheal tube	Accuracy in predicting the correct placement of the endotracheal tube will be assessed using Sensitivity and Specificity, positive predictive value (PPV), and negative predictive value (NPV) for each ultrasound technique.

Trial Locations

Locations (1)

Tanta University; 🇪🇬 Tanta, El-Gharbia, Egypt