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.
研究概览
详细说明
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Hee Yoon, Professor
- 电话号码:+821099335581
- 邮箱:wildhi.yoon@samsung.com
研究联系人备份
- 姓名:Sooyeon Kang, fellow
- 电话号码:82-10-3157-4718
- 邮箱:syrei3.kang@samsung.com
学习地点
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Seoul、大韩民国、06351
- 招聘中
- Samsung Medical Center
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接触:
- Sooyeon Kang, fellow
- 电话号码:82-10-3157-4718
- 邮箱:syrei3.kang@samsung.com
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接触:
- Hee Yoon, Professor
- 电话号码:82-10-9933-5581
- 邮箱:wildhi.yoon@samsung.com
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:诊断
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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其他: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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Accuracy
大体时间: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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合作者和调查者
调查人员
- 学习椅:Hee Yoon, Professor、Samsung medical center, Emergency department
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.
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