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Diagnostic Accuracy of Core Stethoscope Auscultation vs. Point of Care Ultrasound in Placement of Endotracheal Tube
Not Recruiting
Trial ID: NCT04797520
Purpose
Misplacement of endotracheal tube (ETT) can have devastating complications for patients, some
of which include respiratory failure, atelectasis, and pneumothorax.
There are a number of ways to verify the correct placement of ETT, with the stethoscope
auscultation being commonly used despite its low accuracy (60-65%) in distinguishing tracheal
from bronchial intubation (4-6). The gold standard techniques include Chest X Ray or
fiberoptic bronchoscope (7-8), with a recent study showing point-of-care ultrasound. However,
these techniques are expensive, time-consuming, often not readily available and require
substantial training before users can reliably utilize them. Given intubation is often
performed in urgent clinical settings, a technique that can reliably yet efficiently localize
ETT would be beneficial.
Tele-auscultation system via Core stethoscope (Eko, Berkeley, CA) has been shown to be
effective in identifying pathologic heart murmur (10) yet its potential use in guiding the
correct placement of ETT has not been explored. We set out to study the suitability of Core
stethoscope in detecting the correct placement of ETT.
Official Title
Assessing Diagnostic Accuracy of Core Stethoscope Auscultation vs. Point of Care Ultrasound in Localizing Correct Placement of Endotracheal Tube
Stanford Investigator(s)
Eligibility
Inclusion Criteria:
- Any patients under the age of 18
- Surgery requiring an ETT
- Consent/parental consent to
Exclusion Criteria:
- Possible difficult airway
- Significant lung pathology
- with any major cardiac anomaly
Intervention(s):
device: Eko CORE Stethoscope
device: Point of care ultrasound
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Ban Tsui, MD
650-200-9107