Tracheal, Lung, and Diaphragmatic Ultrasonography Applications for Rapid Confirmation of Endotracheal Tube Position

Aswan University100 enrolled

Overview

Nowadays endotracheal intubation is considered a fundamental management procedure during emergency resuscitation. Unrecognized misplacement of the ETT during endotracheal intubation and ventilation, has a reported incidence of 2.9-16.7% and is a frequent cause of morbidity and mortality in emergency intubations. The aim of this study is to determine the diagnostic accuracy of the tracheal, diaphragmatic and sonographic estimation of lung sliding for the rapid verification of endotracheal tube position in the intensive care unit (RICU) with reference to Co₂ monitors (capnography) (the gold standard technique)

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Endotracheal Intubation

Interventions

UltrasonographyDEVICE

Tracheal, diaphragmatic and lung ultrasonography

Eligibility

Sex: ALLMin age: 18 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age \>18 years old with endotracheal intubation * Having normal airway anatomy Exclusion Criteria: * Age below 18 years old * Neck deformities, * Presence in history of neck radiation, * Cervical spine immobility/instability * Unstable vital signs * Unwilling to participate or denial of informed consent

Outcomes

Primary Outcomes

The verification of endotracheal tube position using the ultrasonography in the respiratory intensive care unit (RICU) with reference to Co₂ monitors (capnography) (the gold standard technique)

The confirmation of endotracheal tube position using the tracheal, diaphragmatic and sonographic estimation of lung sliding for the rapid verification of endotracheal tube position in the intensive care unit (RICU) with reference to Co₂ monitors (capnography) (the gold standard technique)

Time frame: one hour