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The purpose of this study is to assess the applicability of using ultrasonography in confirmation of the position of the endotracheal tube (ETT) after intubated to patients.
To assess the applicability of using ultrasonography as compared to routine portable CXR in confirmation of ETT position.
To determine the accuracy of ultrasonography in measuring the depth of ETT as compare to standard CXR method.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intubate |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultrasonography (Sonosite ) | Device | Sonosite MICROMAXXTM with linear probe L38e/10-5 MHz |
|
| Measure | Description | Time Frame |
|---|---|---|
| The confirmation of ETT depth | A transcricothyroid membrane view of the ultrasonography was chosen for confirmation of ETT depth measurement. Firstly, measured the distance from probe (skin) to anterior surface of ETT. Then, measured the distance from probe (skin) to balloon cuff level. Finally the depth of ETT (Distance from vocal cord to balloon cuff) was calculated by using Pythagorus rule. | 1 hour |
| Measure | Description | Time Frame |
|---|---|---|
| The confirming the presence of ETT in airway. | A transcricothyroid membrane view was chosen for confirmation of ETT position. Various glottic structures such as True Vocal Cord (TVC), False Vocal Cord (FVC), and arythenoid cartilage can be visualized. | 1 hour |
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Inclusion Criteria:
Exclusion Criteria:
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The patients who visited the emergency department, Siriraj hospital and needed ETT intubation as their adequate treatment. In the period from September 2010 to November 2010.
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| Name | Affiliation | Role |
|---|---|---|
| Phuriphong Songarj, MD | Faculty of Medicine Siriraj Hospital, Mahidol University, Thailand | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anesthesiology Department | Bangkok | 10700 | Thailand |
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| ID | Term |
|---|---|
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014463 | Ultrasonography |
| ID | Term |
|---|---|
| D003952 | Diagnostic Imaging |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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