Comparison of Tracheal Ultrasound With Capnography for Intubation Confirmation During CPR Wearing PPE
Comparison of Tracheal Ultrasound With Capnography for Intubation Confirmation During CPR (Cardiopulmonary Resuscitation) Wearing PPE (Personnel Protective Equipment): A Prospective Comparative Study
It is very important to ensure the tube placement in patients with cardiac arrest and unrecognized misplacement of endo-tracheal tube can lead to morbidity and mortality. In recent pandemic situations such as COVID-19 (Coronavirus disease-19), the number of cases of cardiopulmonary resuscitation with personal protective equipment (PPE) have increased. In those cases, existing methods such as auscultation and chest uprising have to be limited. Quantitative waveform capnography is recommended as the gold standard for confirming correct endotracheal tube placement in the 2010 American HeartAssociation (AHA) Guidelines for Cardiopulmonary resuscitation (CPR) and Emergency Cardiovascular Care (ECC), but it has some well-known limitations in cardiac arrest patients.
Ultrasonography is a non-invasive, real-time diagnostic tool commonly used during resuscitation. Especially, tracheal ultrasonography can be performed in real-time when the tube is passed through the trachea or esophagus. Previous prospective studies revealed that tracheal ultrasonography could feasibly and rapidly confirm tracheal intubation during emergency intubation.
There have already been several studies comparing the accuracy of tracheal ultrasound and capnography, but there was no study comparing the two tools under the constraints of PPE that is essential in pandemic situations as in this study. This study aimed to determine the accuracy of tracheal ultrasonography in assessing endotracheal tube position during CPR with PPE.
調査の概要
詳細な説明
研究の種類
入学 (予想される)
段階
- 適用できない
連絡先と場所
研究場所
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Seoul、大韓民国、06351
- 募集
- Samsung Medical Center
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コンタクト：
- Sooyeon Kang, fellow
- 電話番号：82-10-3157-4718
- メール：syrei3.kang@samsung.com
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コンタクト：
- Hee Yoon, Professor
- 電話番号：82-10-9933-5581
- メール：wildhi.yoon@samsung.com
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- 1. cardiopulmonary arrest patients receiving emergency intubation and CPR
- 2. patients judged to need to wear PPE according to the judgement of the clinician
Exclusion Criteria:
- 1. sign for "do not resuscitate (DNR)"
- 2. patients unable to perform tracheal ultrasound due to trauma of the site
- 3. patients unable to perform tracheal ultrasound due to oropharynx cancer
- 4. patients unable to perform tracheal ultrasound due to placement of tracheal cannula
- 5. patients not used tracheal ultrasound for checking tube placement
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：診断
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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他の：Tracheal ultrasound
The patients in cardiopulmonary arrest should be performed tracheal ultrasound when tube is passed through the trachea or esophagus.
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When checking tracheal ultrasound, several signs are used in judgements.
Direct signs include reverberation artifact and double ring sign.
Indirect sign means checking the bilateral lung sliding.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Accuracy
時間枠：during intubation procedure
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The gold standard is direct visualization using laryngoscopy.
Tracheal ultrasound is performed regardless of whether it is in real-time or not.
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during intubation procedure
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協力者と研究者
スポンサー
捜査官
- スタディチェア：Hee Yoon, Professor、Samsung medical center, Emergency department
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (予想される)
研究の完了 (予想される)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。