Evaluation of the Ability to Diagnose the Position of the Intubation Probe Thanks to Lung Ultrasonography
NCT ID: NCT02822846
Last Updated: 2025-09-12
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
79 participants
OBSERVATIONAL
2016-11-19
2018-11-30
Brief Summary
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The primary assessment criterion is of study the position of the intubation probe with two examinations carried out independently :
* sonography
* chest radiography
A correct position of the intubation probe will be considered if there is :
* Highlighting of the extremity of the intubation probe in endo tracheal
* Highlighting bilateral lung sliding
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Detailed Description
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The aim of the study is to confirm the good positioning of the tube with a lung ultrasonography.
After each intra-tracheal intubation, for patients with qualifying criteria, a lung ultrasonography will be performed, in bed, by two trained doctors (senior and junior) to determine if the position is right. Then, the chest radiography will be performed as usual.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Interventions
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lung ultrasound
Eligibility Criteria
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Inclusion Criteria
* Patient intubated and ventilated
* intubation probe considered in place on auscultation
* SpO2\> 92%
* Affiliate or entitled to a social security scheme
* No opposition of any of the parents.
Exclusion Criteria
* Spontaneous pneumothorax
* Heart massage ongoing
* Chest trauma
* Faulty position of the probe intubation
1 Day
18 Years
ALL
No
Sponsors
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URC-CIC Paris Descartes Necker Cochin
OTHER
Assistance Publique - Hôpitaux de Paris
OTHER
Responsible Party
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Principal Investigators
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Julie Starck, MD
Role: PRINCIPAL_INVESTIGATOR
AP-HP, Necker hospital
Locations
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Intensive Care Unit of Necker Hospital
Paris, Paris, France
Countries
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References
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Knapp S, Kofler J, Stoiser B, Thalhammer F, Burgmann H, Posch M, Hofbauer R, Stanzel M, Frass M. The assessment of four different methods to verify tracheal tube placement in the critical care setting. Anesth Analg. 1999 Apr;88(4):766-70. doi: 10.1097/00000539-199904000-00016.
Harris EA, Arheart KL, Penning DH. Endotracheal tube malposition within the pediatric population: a common event despite clinical evidence of correct placement. Can J Anaesth. 2008 Oct;55(10):685-90. doi: 10.1007/BF03017744.
Schmolzer GM, O'Reilly M, Davis PG, Cheung PY, Roehr CC. Confirmation of correct tracheal tube placement in newborn infants. Resuscitation. 2013 Jun;84(6):731-7. doi: 10.1016/j.resuscitation.2012.11.028. Epub 2012 Dec 1.
Chou EH, Dickman E, Tsou PY, Tessaro M, Tsai YM, Ma MH, Lee CC, Marshall J. Ultrasonography for confirmation of endotracheal tube placement: a systematic review and meta-analysis. Resuscitation. 2015 May;90:97-103. doi: 10.1016/j.resuscitation.2015.02.013. Epub 2015 Feb 21.
Pfeiffer P, Rudolph SS, Borglum J, Isbye DL. Temporal comparison of ultrasound vs. auscultation and capnography in verification of endotracheal tube placement. Acta Anaesthesiol Scand. 2011 Nov;55(10):1190-5. doi: 10.1111/j.1399-6576.2011.02501.x. Epub 2011 Sep 8.
American College of Emergency Physicians. Clinical Policies Committee. Verification of endotracheal tube placement. Ann Emerg Med. 2002 Nov;40(5):551-2. No abstract available.
Guerder M, Maurin O, Merckx A, Foissac F, Oualha M, Renolleau S, Vedrenne-Cloquet M. Diagnostic value of pleural ultrasound to refine endotracheal tube placement in pediatric intensive care unit. Arch Pediatr. 2021 Nov;28(8):712-717. doi: 10.1016/j.arcped.2021.09.006. Epub 2021 Oct 6.
Other Identifiers
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2016-04-07
Identifier Type: -
Identifier Source: org_study_id
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