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

ConditionsTwo Bedside Ultrasound Endotracheal Tube Intensive Care Patients

Trial statusRecruiting

Trial phaseNot listed

Trial typeObservational

Biological sexAll

Age18+

SponsorTanta University

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

An abnormal airway anatomy.

Tracheal or endobronchial lesion.

Significant cervical trauma.

Cervical abnormality.

Trial population

Patients \> 18 years old, of both sexes undergoing endotracheal intubation admitted to the emergency and traumatology department ICU between October 2023 to September 2024.

Trial design

Design model

Cohort

Time perspective

Cross-sectional

Treatments tested in this trial

Ultrasound using suprasternal method
Device
The research resident will perform suprasternal ultrasound (US) with a curvilinear probe) C6-2) of US machine (Philips Affiniti 50) which will be placed transversely on the suprasternal area just above to the suprasternal notch immediately after intubation, The position of the trachea will be determined by a hyperechoic air-mucosa (A-M) interface with reverberation artifact posteriorly (comet-tail artifact). The position of endotracheal tube (ETT), when it is placed in trachea, will be defined as observable contour between A-M and comet-tail artifact. If the second contour appears, it will be similar to the second airway which is called double-tract sign which means that the ETT will be in the esophagus. (7) If the position of the esophagus is suspected of being exactly behind the trachea, operator of ultrasound can specify the location of the esophagus by moving the probe to the left and right sides during scan.
Ultrasound using subxiphoid method
Device
Immediately after suprasternal sonography, the research resident will perform subxiphoid sonography to detect diaphragmatic motion, and information will be recorded.

Treatment groups

70 Participants

are divided into 2 treatment groups

Group A: Correct placement group2 interventions

Group B: Incorrect placement group2 interventions

Trial outcomes

Primary outcomes

Accuracy to predict correct placement

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.

Time frame

5 minutes after placement of endotracheal tube

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Tanta University

Lead sponsor

Source ClinicalTrials.gov

Apply now