The use of Ultrasound as a reliable tool for endotracheal intubation when performed by novice Anaesthesia residents- A prospective observational study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 103
- 试验地点
- 1
- 主要终点
- if ultrasound guided intubation is a reliable method of endotracheal intubation when performed by novice anesthetists
研究概览
简要总结
endotracheal intubation can be correctly identified by capnography and by chest ausculation. initially novice anesthetists may take longer time for performing the intubation . By the time the correct intubation is confirmed , precious time maybe lost resulting in morbidity of the patient including desaturation.
the ideal method of teaching endotracheal intuabtion to the novice anesthetists would be one in which the mentor and the intubator can simultaneously visualize the airway. newer tools like videolaryngoscopes offer this however unfortunately these involve non conventional laryngoscopy methods and thus is not suitable for initial teaching tool for the novice anesthetists.
Thus , we hypothesize that ultrasound can be used as a tool for correct placement of the endotracheal tube in which simultanously the mentor can directly visualize the endotracheal tube placement and can even identify esophageal intubation.
this would also be fastest method of confirmation of endotracheal intubation as compared to capnography and chest auscultation.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 60.00 Year(s)（—）
- 性别
- All
入选标准
- •consenting patients posted for elective surgeries requiring general anaesthesia with oro-tracheal intubation -BMI < 30kg/meter square -first year Anaesthesiology residents (first 6 months and 6-12 months).
排除标准
- •refusal to participate in the study -predictors of difficult intubation -modified mallampati class 3 and 4 -thyromental distance < 6.5cm -upper lip bite test negative -restricted neck movements (flexion <25 degrees, extension <85 degrees) -previous history of difficult intubation.
结局指标
主要结局
if ultrasound guided intubation is a reliable method of endotracheal intubation when performed by novice anesthetists
时间窗: 10 minutes
次要结局
- to determine if ultrasound is the fastest method of confirmation of endotracheal intubation in comparison to chest ausculation and capnography.(whether it is a good indicator to guide the direction of endotracheal tube towards the trachea)
- whether it is a good indicator to guide the direction of endotracheal tube towards the trachea