Waveform Capnography and Colorimetric Carbon Dioxide Detection During Tracheal Intubation of Critically Ill Adults
Brian Driver
Summary
This study will compare the sensitivity and specificity of waveform capnography versus colorimetric carbon dioxide detection to identify tracheal placement of the endotracheal tube during intubation of critically ill adults.
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Patient is located in a participating unit (ED or ICU) 2. Patient is undergoing tracheal intubation. 3. The clinician intends to use an exhaled CO2 detection device to confirm tracheal placement of the tube. Exclusion Criteria: 1. Patient is known to be a prisoner 2. Patient is known to be \< 18 years old 3. A responsible clinician has determined that sole use of either waveform capnography or colorimetric testing is required for optimal care of the patient.
Interventions
- Diagnostic TestColorimetric carbon dioxide (CO2) detection
All patients will undergo colorimetric carbon dioxide (CO2) detection. The reading will be assessed by a clinician at the bedside who will answer yes or no to the following question, asked after 7 breaths have been delivered following intubation: "Is the color change consistent with a tube located in the trachea?"
- Diagnostic TestWaveform capnography
All patients will undergo waveform capnography. The reading will be assessed by a clinician at the bedside who will answer yes or no to the following question, asked after 7 breaths have been delivered following intubation: " Is the waveform consistent with a tube located in the trachea?"
Locations (6)
- Lahey Hospital & Medical CenterBurlington, Massachusetts
- Hennepin HealthcareMinneapolis, Minnesota
- Duke University School of MedicineDurham, North Carolina
- Wake Forest School of MedicineWinston-Salem, North Carolina
- The Ohio State University College of MedicineColumbus, Ohio
- Oregon Health and Sciences UniversityPortland, Oregon