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CTRI Number  CTRI/2014/08/004867 [Registered on: 11/08/2014] Trial Registered Prospectively
Last Modified On: 08/01/2020
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   diagnostic test 
Study Design  Single Arm Study 
Public Title of Study   detecting position of breathing tube in wind pipe using sonography 
Scientific Title of Study   ULTRASOUND CONFIRMATION OF ENDOTRACHEAL TUBE PLACEMENT WITH THE SALINE FILLED CUFF TECHNIQUE AND COMPARISION OF DEPTH OF INSERTION WITH CHEST X RAY 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vijaya Patil 
Designation  Professor 
Affiliation  Tata Memorial Hospital 
Address  Ruby House, Second Floor, L.J.Road,Mahim, Mumbai
Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, E.Borges Marg, Parel, Mumbai
Mumbai
MAHARASHTRA
400016
India 
Phone  912224451118  
Fax    
Email  vijayappatil@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Vijaya Patil 
Designation  Professor 
Affiliation  Tata Memorial Hospital 
Address  Ruby House, Second Floor, L.J.Road,Mahim, Mumbai
Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, E.Borges Marg, Parel, Mumbai
Mumbai
MAHARASHTRA
400016
India 
Phone  912224451118  
Fax    
Email  vijayappatil@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Vijaya Patil 
Designation  Professor 
Affiliation  Tata Memorial Hospital 
Address  Ruby House, Second Floor, L.J.Road,Mahim, Mumbai
Department of Anaesthesia, Critical Care and Pain, Tata Memorial Hospital, E.Borges Marg, Parel, Mumbai
Mumbai
MAHARASHTRA
400016
India 
Phone  912224451118  
Fax    
Email  vijayappatil@yahoo.com  
 
Source of Monetary or Material Support  
Not Applicable 
 
Primary Sponsor  
Name  NA 
Address  NA 
Type of Sponsor  Other [NA] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Vijaya Patil  Intensive care Unit, Tata Memorial Hospital  E.Borges Marg, Parel, Mumbai 400012
Mumbai
MAHARASHTRA 
022-24177048

vijayappatil@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Tata Memorial Hospital   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  patients requiring intubation in ICU,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  99.00 Year(s)
Gender  Both 
Details  all consenting patients requiring intubation in ICU will be included 
 
ExclusionCriteria 
Details  refusal of consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. visualisation of endotracheal placement of tube during intubation
2. visualisation of saline filled cuff of endotracheal tube 
during intubation and immediately after intubation 
 
Secondary Outcome  
Outcome  TimePoints 
determining position of saline filled cuff in ultrasonography and comparision with X ray position of tip of endotracheal tube  within 2 hours after intubation 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "89"
Final Enrollment numbers achieved (India)="89" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/09/2014 
Date of Study Completion (India) 23/03/2017 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 23/03/2017 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
Utility of ultrasound of upper airway for confirmation of endotracheal intubation and confirmation of the endotracheal tube position in the intensive care unit patients Vijaya Patil1, Shilpushp Bhosale, Atul Kulkarni1, Natesh Prabu, Vikas Bhagat, Harish Chaudhary,Suhail Sarawar, Amit Narkhede, Jigeshu Divatia.J Emerg Crit Care Med 2019;3:15 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary
Modification(s)  
In this prospective observational study, we found that airway ultrasonography is useful for confirmation of tracheal intubation with high sensitivity (96.55%) In our study the airway ultrasonography was able to confirm ETT placement with 96% sensitivity and 100% specificity. Loss of snow storm sign was identified in all patients except 3 patients in whom the tube placement was confirmed by capnography. The saline filled cuff was visualized in all patients and was 100% specific for correct depth of ETT in the trachea when compared with chest X-ray. In 2 patients, we could detect esophageal intubation in real time by identifying the double track sign and absence of loss of snow storm sign and hence may have prevented esophageal intubations. 
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