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

Tanta University

Status: Enrolling

Conditions: Two Bedside; Endotracheal Tube; Intensive Care Patients; Ultrasound

Treatments: Device: Ultrasound using subxiphoid method; Device: Ultrasound using suprasternal method

Study type: Observational

Funder types: Other

Identifiers

NCT06510387

36264MS323/9/23

Details and patient eligibility

About

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.

Full description

Endotracheal intubation is the primary medical procedure used for securing the airway, confirmation of endotracheal tube (ETT) placement is essential to prevent hypoxia and aspiration. The best primary approach to confirm endotracheal tube placement is observation of the tube passage through the vocal cords followed by assessment based on chest and epigastric auscultation.

Ultrasound machines are now increasingly available in emergency departments and intensive care units. It is a non-invasive, portable and serves as a real-time diagnostic tool with rapid and accurate results.

Enrollment: 70 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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.

Exclusion criteria

• An abnormal airway anatomy.
• Tracheal or endobronchial lesion.
• Significant cervical trauma.
• Cervical abnormality.
• Neck swelling.
• Patients who need cardiopulmonary resuscitation.

Trial design

70 participants in 2 patient groups

Correct placement group

Description:

The research resident will perform ultrasonography using suprasternal and subxiphoid methods to confirm the correct placement of the endotracheal tube.

Treatment:

Device: Ultrasound using suprasternal method

Device: Ultrasound using subxiphoid method

Incorrect placement group

Description:

The research resident will perform ultrasonography using suprasternal and subxiphoid methods.

Treatment:

Device: Ultrasound using suprasternal method

Device: Ultrasound using subxiphoid method