Bedside Lung Ultrasonography by Nurses in Acute Dyspnea.

NCT ID: NCT05126940

Last Updated: 2021-11-19

Study Results

Results pending

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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Recruitment Status

COMPLETED

Total Enrollment

216 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-01-01

Study Completion Date

2019-01-31

Brief Summary

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This study assesses the potential of lung ultrasonography to diagnose heart failure.

Detailed Description

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Dyspnea is one of the most distressing situations for the patient . Emergency cases do not always present in conditions that are ideal for immediate diagnosis, which sometimes compromises outcome. Physical examination, laboratory findings and radiography are imperfect, resulting in a need for sophisticated test results that delay management.

Lung ultrasonography is becoming a standard tool in critical cases in the ED.

the investigators aim to perform ultrasonography on consecutive patients admitted to the ICU with dyspnea, comparing lung ultrasonography results on initial presentation with the final diagnosis by the nurses.

Three items were assessed: artifacts (horizontal A lines or vertical B lines indicating interstitial syndrome), lung sliding, and alveolar consolidation and/or pleural effusion, these items were grouped to assess ultrasound profiles.

the study aimed to evaluate the accuracy and reproducibility of B-lines testing assessed by emergency nurses after 12-h training in the diagnosis of HF in patients admitted to the emergency department with acute dyspnea.

Conditions

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Dyspnea; Cardiac

Keywords

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Lung ultrasound heart failure diagnosis accuracy nurses

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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nurses

ED nurses trained to perform LUS and blinded to the final diagnosis

we perform a lung ultrasound to all the patients admitted for dyspnea independantly from the final diagnosis

Intervention Type DIAGNOSTIC_TEST

Patients were placed in a semi-recumbent or supine position depending on their respiratory tolerance. For each side of the chest, 4 zones have to be assessed : 2 anterior and 2 lateral. The operator should calculate the number of B-lines when present .

emergency physician

certified emergency physician who had accomplished a full mentoring program for "Ultra-Sound Life Support".

we perform a lung ultrasound to all the patients admitted for dyspnea independantly from the final diagnosis

Intervention Type DIAGNOSTIC_TEST

Patients were placed in a semi-recumbent or supine position depending on their respiratory tolerance. For each side of the chest, 4 zones have to be assessed : 2 anterior and 2 lateral. The operator should calculate the number of B-lines when present .

Interventions

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we perform a lung ultrasound to all the patients admitted for dyspnea independantly from the final diagnosis

Patients were placed in a semi-recumbent or supine position depending on their respiratory tolerance. For each side of the chest, 4 zones have to be assessed : 2 anterior and 2 lateral. The operator should calculate the number of B-lines when present .

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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lus

Eligibility Criteria

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Inclusion Criteria

* non traumatic dyspnea with the final diagnosis of heart failure

Exclusion Criteria

* age less than 18 years
* impossibility to give consent to participate in the study
* post-traumatic dyspnea
* pregnant women
* need for endotracheal intubation or inotropic drugs
* patients who were deemed too unstable for sonography by the treating team
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Monastir

OTHER

Sponsor Role lead

Responsible Party

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Pr. Semir Nouira

professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Nouira Semir

Monastir, , Tunisia

Site Status

Countries

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Tunisia

Other Identifiers

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LR12SP18

Identifier Type: -

Identifier Source: org_study_id