POCUS Assessment for Differentiating Tracheal Versus Oesophageal Intubation During Surgery

What this Trial Is About

Researchers are evaluating the use of Point-of-Care Ultrasound (PoCUS) to distinguish between tracheal and oesophageal intubation during airway management. This observational study focuses on improving the accuracy of confirming correct endotracheal tube placement, which is crucial to avoid serious complications. The study builds on existing methods like capnography and aims to provide a simple, quick ultrasound approach that complements current practices. The study involves using an ultrasound transducer placed on the front of the neck to locate the oesophagus and observe the tube's passage into the trachea in real time during orotracheal intubation. This ultrasound technique is compared with capnography or lung sliding to verify correct tube placement. The procedure is applied to patients undergoing scheduled or emergency surgeries requiring intubation. Participants will be monitored during the intubation process, with ultrasound used to confirm tube placement within minutes. Researchers will assess the accuracy of ultrasound detection of oesophageal intubation and also evaluate the learning curve for using PoCUS in this context. The study is expected to conclude by August 2026, and participants include adults aged 18 to 90 years undergoing relevant surgical procedures.

POCUS ASSESSMENT FOR TRACHEAL VS OESOPHAGEAL INTUBATION