Confirmation of Ventilation and Intubation by Determination With Ultrasonography

Confirmation of Ventilation and Intubation by Determination With Ultrasonography: A Multicenter Observational Study

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04419064

Acronym

COVID-US

Enrollment

118

Registered

2020-06-05

Start date

2019-01-01

Completion date

2020-05-30

Last updated

2020-10-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Critical Illness, Mechanical Ventilation

Keywords

intubation, bedside ultrasound, point-of-care ultrasound

Brief summary

Chest radiography is the gold standard for confirming tracheal intubation. Bedside ultrasound can be a useful alternative. The investigators are conducting a multi-center, observational study from January 2019 to May 2020 (COVID-US Study) to determine the feasibility of tracheal and lung ultrasound in confirming endotracheal tube placement in the critically ill.

Detailed description

Endotracheal intubation is an important aspect of managing critically ill patients. Chest radiography remains the gold standard for confirming endotracheal tube positioning, however, ultrasonography can be a useful alternative. The objective of this study is to determine the feasibility of a combination of tracheal and thoracic ultrasonography to confirm adequate positioning of endotracheal tube placement in a cohort of critically ill participants including those with novel coronavirus-2019.

Interventions

DIAGNOSTIC_TESTPoint of care ultrasound

Tracheal and lung ultrasonography

Study design

Observational model

COHORT

Time perspective

RETROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Adult patients (\> or equal to 18 years of age) requiring intubation and mechanical ventilation as a part of their routine care

Exclusion criteria

* Recent neck or chest surgery * Cervical spine immobilization * Lack of availability of operators or equipment for performing the ultrasound protocol

Design outcomes

Primary

Measure	Time frame	Description
Concordance with next occurring chest radiograph	within 24 hours	Adequate endotracheal tube position in agreement with chest radiograph

Secondary

Measure	Time frame	Description
Esophageal Intubation detection	within intubation attempt	Number of esophageal intubations detected during intubation attempt
Right main or endobronchial intubation	within intubation attempt	Number of right main stem intubations detected with ultrasonography

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026