A Systematic Echography During Intubation Procedure to Predict Cardiovascular Collapse (EPIC)

Regional University Hospital Center (CHRU)

Status: Completed

Conditions: Intubation

Study type: Observational

Funder types: Other

Identifiers

NCT03184207

EPIC ( 29BRC17.0047)

Details and patient eligibility

About

In the operating room, most intubation procedures (IP) are scheduled and performed on hemodynamically stable patients. In the ICU, IP is frequently performed in emergent patients, because of unstable hemodynamics and/or acute respiratory failure, and complicated by a subsequent cardiovascular collapse. Transthoracic echocardiography (TTE) has become readily available in most ICUs for several years. Echocardiography enables to perform a noninvasive hemodynamic evaluation (cardiac function and volemia status).

We hypothesized that performing a TTE prior to IP may help to predict cardiovascular collapse and its components.

Enrollment: 70 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Patient requiring endotracheal intubation

Exclusion criteria

• Age < 18 yrs
• Pregnancy
• Amputation of a lower limb
• Passing leg raising contraindication: intracranial hypertension with invasive monitoring, fracture of the pelvis or limbs
• Patients under administrative protective measures
• Severe cardiovascular collapse before intubation
• Severe cardiogenic pulmonary oedema