Evaluation of the Ability to Diagnose the Position of the Intubation Probe Thanks to Lung Ultrasonography (ECOVERA)

Assistance Publique - Hôpitaux de Paris

Status

Completed

Conditions

Intubation, Intratracheal

Treatments

Other: lung ultrasound

Study type

Observational

Funder types

Other

Identifiers

NCT02822846

2016-04-07

Details and patient eligibility

About

The purpose of this study is to evaluate the diagnostic qualities of lung ultrasonography to monitor the position of the intubation probe.

The primary assessment criterion is of study the position of the intubation probe with two examinations carried out independently :

sonography
chest radiography

A correct position of the intubation probe will be considered if there is :

Highlighting of the extremity of the intubation probe in endo tracheal
Highlighting bilateral lung sliding

Full description

Oesophageal intubation can cause death. Selective intubation can induce a poor ventilation, hypoxemia, atelectasis etc… It's not rare in paediatric intubation. The prevalence of malposition of endotracheal tube is 30 to 40% in babies and infants less than 1 year old. Currently doctors try to detect malposition of intra-tracheal tube by auscultation and capnograms and chest radiography is needed to confirm it. The Chest X ray is the gold standard.

The aim of the study is to confirm the good positioning of the tube with a lung ultrasonography.

After each intra-tracheal intubation, for patients with qualifying criteria, a lung ultrasonography will be performed, in bed, by two trained doctors (senior and junior) to determine if the position is right. Then, the chest radiography will be performed as usual.

Enrollment

79 patients

Sex

All

Ages

1 day to 18 years old

Volunteers

No Healthy Volunteers

Inclusion criteria