Comparison of Ultrasound Methods for Assessment of Endotracheal Tube Placement

Launched by MARMARA UNIVERSITY PENDIK TRAINING AND RESEARCH HOSPITAL · Oct 23, 2024

Keywords

ClinConnect Summary

This clinical trial is studying the best ways to confirm that a breathing tube, called an endotracheal tube, has been placed correctly in patients who are being intubated in the emergency department. Intubation is a procedure used to help patients breathe, especially in urgent situations. The researchers will compare three different ultrasound methods to see which one is the most accurate for checking the tube's position. Two trained specialists will independently look at the images without knowing each other's findings, ensuring that their assessments are unbiased.

To participate in this study, patients must be over 18 years old and in the emergency department needing intubation as decided by their doctor. Unfortunately, pregnant patients and those with certain medical conditions or past surgeries that could interfere with the ultrasound evaluation cannot join the study. Participants can expect to undergo their usual care, while the researchers will use ultrasound to assess the placement of the breathing tube. This study aims to improve the safety and accuracy of intubation procedures in emergency situations.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients in the emergency department who require endotracheal intubation (ETI) based on the decision of the primary physician and are intubated using the rapid sequence intubation method.
• • Patients aged \>18 years will be included in the study.
• Exclusion Criteria:
• • Pregnant patients.
• • Patients with a history of neck or chest surgery that may interfere with ultrasound evaluation.
• • Patients with cervical spine disease or a history of surgery that could affect diaphragmatic movement.
• • Patients diagnosed conditions such as pneumothorax that could affect lung ultrasound results, or those in whom pneumothorax is detected upon further evaluation,
• • Patients who, after being enrolled, withdraw consent either personally or through a relative.