Confirmation of Ventilation and Intubation by Determination With Ultrasonography: A Multicenter Observational Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 118
- 试验地点
- 4
- 主要终点
- Concordance with next occurring chest radiograph
研究概览
简要总结
Chest radiography is the gold standard for confirming tracheal intubation. Bedside ultrasound can be a useful alternative. The investigators are conducting a multi-center, observational study from January 2019 to May 2020 (COVID-US Study) to determine the feasibility of tracheal and lung ultrasound in confirming endotracheal tube placement in the critically ill.
详细描述
Endotracheal intubation is an important aspect of managing critically ill patients. Chest radiography remains the gold standard for confirming endotracheal tube positioning, however, ultrasonography can be a useful alternative. The objective of this study is to determine the feasibility of a combination of tracheal and thoracic ultrasonography to confirm adequate positioning of endotracheal tube placement in a cohort of critically ill participants including those with novel coronavirus-2019.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients (> or equal to 18 years of age) requiring intubation and mechanical ventilation as a part of their routine care
排除标准
- •Recent neck or chest surgery
- •Cervical spine immobilization
- •Lack of availability of operators or equipment for performing the ultrasound protocol
结局指标
主要结局
Concordance with next occurring chest radiograph
时间窗: within 24 hours
Adequate endotracheal tube position in agreement with chest radiograph
次要结局
- Right main or endobronchial intubation(within intubation attempt)
- Esophageal Intubation detection(within intubation attempt)
研究者
Mourad Senussi
Clinical Instructor of Medicine
University of Pittsburgh