Chest radiography is the gold standard for confirming tracheal intubation. Bedside ultrasound can be a useful alternative. The investigators are conducting a multi-center, observational study from January 2019 to May 2020 (COVID-US Study) to determine the feasibility of tracheal and lung ultrasound in confirming endotracheal tube placement in the critically ill.
Endotracheal intubation is an important aspect of managing critically ill patients. Chest radiography remains the gold standard for confirming endotracheal tube positioning, however, ultrasonography can be a useful alternative. The objective of this study is to determine the feasibility of a combination of tracheal and thoracic ultrasonography to confirm adequate positioning of endotracheal tube placement in a cohort of critically ill participants including those with novel coronavirus-2019.
Study Type
OBSERVATIONAL
Enrollment
118
Tracheal and lung ultrasonography
Cleveland Clinic
Cleveland, Ohio, United States
University of Pittsburgh
Pittsburgh, Pennsylvania, United States
Baylor St. Luke's Medical Center
Houston, Texas, United States
Kadlec Regional Medical Center
Richland, Washington, United States
Concordance with next occurring chest radiograph
Adequate endotracheal tube position in agreement with chest radiograph
Time frame: within 24 hours
Esophageal Intubation detection
Number of esophageal intubations detected during intubation attempt
Time frame: within intubation attempt
Right main or endobronchial intubation
Number of right main stem intubations detected with ultrasonography
Time frame: within intubation attempt
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