Bedside Ultrasound for Confirmation of Endotracheal Tube Placement in the Emergency Department
The Role of Bedside Ultrasound in Confirming Endotracheal Tube Placement in Patients Undergoing Endotracheal Intubation in the Emergency Department
This prospective observational study evaluated the role of bedside ultrasound in confirming endotracheal tube placement in adult patients who underwent endotracheal intubation in the emergency department. Correct placement of the endotracheal tube is critical because unrecognized incorrect placement may cause hypoxemia, hypoxic brain injury, or death.
In this study, bedside ultrasound was performed during or immediately after endotracheal intubation without interfering with the intubation procedure. Ultrasound findings were compared with capnographic end-tidal carbon dioxide measurement, which was used as the reference method for confirming tube placement. The main aim was to assess whether bedside ultrasound is a useful and reliable method for confirming endotracheal tube position in emergency department patients.
Studienübersicht
Status
Detaillierte Beschreibung
This single-center, prospective observational diagnostic accuracy study was conducted in the Emergency Department of Antalya Training and Research Hospital. Adult patients who underwent endotracheal intubation in the emergency department after ethics committee approval were included.
Endotracheal intubation was performed as part of routine emergency care by the most senior emergency medicine resident or an experienced emergency physician. Bedside ultrasound assessment was performed during or immediately after intubation by trained emergency physicians without interrupting or delaying the intubation procedure. The ultrasound examination was performed from the suprasternal notch region to assess the position of the endotracheal tube.
The physicians who performed bedside ultrasound had at least two years of emergency medicine experience and had completed accredited ultrasound training. Before study data collection, they received additional theoretical and practical training focused on ultrasound confirmation of endotracheal tube placement.
Ultrasound findings were compared with capnometric end-tidal carbon dioxide measurement, which was used as the reference method for confirmation of endotracheal tube placement. Ultrasound images were stored in the hospital computer system and reviewed by two qualified, independent radiology specialists. Images or measurements with insufficient quality were excluded from analysis. Agreement between ultrasound assessments was evaluated statistically.
The study aimed to determine whether bedside ultrasound can be used as a rapid, reliable, and practical method for confirming endotracheal tube placement in emergency department patients.
Studientyp
Einschreibung (Tatsächlich)
Kontakte und Standorte
Studienorte
-
-
konyaaltı
-
Antalya, konyaaltı, Türkei (türkiye), 07100
- University of Health Sciences, Antalya Training and Research Hospital
-
-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Probenahmeverfahren
Studienpopulation
Beschreibung
Inclusion Criteria:
- Patients aged 18 years or older
- Patients who underwent endotracheal intubation in the emergency department as part of routine emergency care
- Patients in whom bedside ultrasound and capnometric end-tidal carbon dioxide assessment were performed for confirmation of endotracheal tube placement
Exclusion Criteria:
- Patients younger than 18 years of age
- Patients with missing or incomplete study data
- Patients with ultrasound images of insufficient quality for evaluation
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
Kohorten und Interventionen
Gruppe / Kohorte |
|---|
|
Patients Undergoing Endotracheal Intubation in the Emergency Department
Adult patients who underwent endotracheal intubation in the emergency department were included in this cohort.
Endotracheal intubation was performed as part of routine emergency care.
Bedside ultrasound was performed during or immediately after intubation by trained emergency physicians without interrupting the procedure.
Ultrasound findings were compared with capnometric end-tidal carbon dioxide measurement, which was used as the reference method for confirming endotracheal tube placement.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Diagnostic Accuracy of Bedside Ultrasound for Confirmation of Endotracheal Tube Placement
Zeitfenster: During or immediately after endotracheal intubation, within a maximum of 20 seconds
|
The diagnostic accuracy of bedside ultrasound for confirming endotracheal tube placement will be evaluated by comparing ultrasound findings with capnometric end-tidal carbon dioxide measurement, which will be used as the reference method.
Diagnostic performance will be assessed using sensitivity, specificity, positive predictive value, negative predictive value, overall accuracy, and agreement with the reference method.
|
During or immediately after endotracheal intubation, within a maximum of 20 seconds
|
Mitarbeiter und Ermittler
Ermittler
- Hauptermittler: MURAT DUYAN, ASSOCIATE PROFESSOR, University of Health Sciences, Antalya Training and Research Hospital
- Studienleiter: HALIT EKICI, MEDICAL DOCTOR, University of Health Sciences, Antalya Training and Research Hospital
- Studienleiter: CEMIL KAVALCI, PROFESSOR, University of Health Sciences, Antalya Training and Research Hospital
- Studienleiter: ENGIN DENIZ ARSLAN, ASSOCIATE PROFESSOR, University of Health Sciences, Antalya Training and Research Hospital
- Studienleiter: FEVZI YILMAZ, University of Health Sciences, Antalya Training and Research Hospital
Publikationen und hilfreiche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Andere Studien-ID-Nummern
- 2025-019
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Beschreibung des IPD-Plans
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
Klinische Studien zur Endotracheale Intubation
-
Mahidol UniversityAbgeschlossenIntubation, EndotrachealThailand
-
The University of Texas Health Science Center,...Hospira, now a wholly owned subsidiary of PfizerAbgeschlossenIntubation, EndotrachealVereinigte Staaten
-
Lawson Health Research InstituteAbgeschlossenIntubation, EndotrachealKanada
-
The University of Texas Health Science Center,...KARL STORZ Endoscopy-America, Inc.AbgeschlossenIntubation, EndotrachealVereinigte Staaten
-
Mario ZamudioRekrutierung
-
Oregon Health and Science UniversityAbgeschlossenIntubation, Endotracheal | LeckdruckVereinigte Staaten
-
Rady Children's Hospital, San DiegoBeendetIntubation, EndotrachealVereinigte Staaten
-
The University of Texas Health Science Center,...Ambu A/SAbgeschlossen
-
Franz FreiAbgeschlossenIntubation, EndotrachealSchweiz
-
National Taiwan University HospitalAbgeschlossenIntubation, EndotrachealTaiwan