None listed
Conditions
Brief summary
This is a single-blinded study. The ultrasound and x-ray images will be stored as a study number only. They will be analysed later after completion of enrolment. The x- rays will be evaluated by paediatric radiologist (AL) blinded to the ultrasound measurements and clinical management. The x-rays will be reported as the distance from ET tip to carina and Position of ET tip in relation to vertebral body. The ultrasound images will be analysed by investigators separately, blinded to the x-ray results and clinical management. The results will be used to compare correlation and reliability of two methods. The distance between ET tip and carina on x-ray will be correlated with ultrasound measurements of - 1. Distance between aortic arch and ETT 2. Distance between RPA and ETT
Interventions
The study population will include neonates admitted to the NICU, who are ventilated and require chest x-ray for any indication. The infant will be positioned with his or her neck in neutral position. The Chest X-ray and ultrasound evaluation will be conducted preferably within two hours of each other. The same neck position will be maintained for both investigations.
The ultrasound will be conducted using high parasternal sagittal window. Aortic arch and right pulmonary artery (RPA) will be loc
The study population will include neonates admitted to the NICU, who are ventilated and require chest x-ray for any indication. The infant will be positioned with his or her neck in neutral position. The Chest X-ray and ultrasound evaluation will be conducted preferably within two hours of each other. The same neck position will be maintained for both investigations. The ultrasound will be conducted using high parasternal sagittal window. Aortic arch and right pulmonary artery (RPA) will be localised. The ET tube will be visualised as a double walled structure by gentle sliding movement. The ultrasound images will be stored and compared with Chest x-ray for endotracheal tube position.
Sponsors
The Children's Hospital at Westmead
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Diagnosis
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
0 to 2 Months
Healthy volunteers
No
Inclusion criteria
Any intubated neonate in NICU needing chest X ray evaluation
Exclusion criteria
1. Newborns with complex congenital heart disease affecting relationship of aorta, pulmonary vessels and airway. 2. Newborns with major tracheo-bronchial anomalies. 3. Ultrasound will not be performed if it is deemed by the treating team that the baby is too fragile to tolerate handling.
Outcome results
None listed